The results of emergent curative surgery for the colorectal cancer; a single center experience of 52 patients
Volkan Oter1,Metin Yalcin2, Serdar Oter3
1Sakarya Uniıversity Faculty of Medicine, Department of, Gastroenterological Surgery Sakarya, Turkey
2Department of General Surgery, Health Sciences University, Mehmet Akif İnan Training and Research Hospital, Sanliurfa, Turkey
3Mersin University Faculty of Medicine, Department of, Gastroenterological Surger, Mersin, Turkey
Aim: Even though, protective methods and early diagnostic modalities are used in current practice, almost 6 to 30% of colorectal cancer patients admit to hospital for emergency operation with late complications.
The aim of this study is to interpreting data of the early postoperative oncologic outcomes of the emergent curative CRC surgeries.
Material and Methods: Between January 2012 and January 2017, 173 patients were operated curatively for colorectal cancer at Mehmet Akif İnan Training and Research Hospital of Health Sciences University. Of these, 52 patients were treated with emergent curative colorectal surgery. Demographics, laboratory, and clinical data, diagnostic studies, surgical procedures, operative findings, histopathologic results, postoperative complications, and patient follow-up were retrospectively analyzed.
Results: The mean age (59.6 ± 10.9 vs. 57.7 ± 11.5, P = 0.98) and gender (71.15 vs. 76.03% male, P = 0.18) were close in emergent and elective colorectal cancer surgery groups. Early postoperative mortality was seen in 6 (11.5%) of those patients. The mean postoperative hospital stay in emergent surgery group was significantly longer than in elective surgery group. The 2-years overall survival rate of emergent and elective group were estimated 33 versus 77%, respectively.
Conclusion: Our findings reveal that emergency CRC surgery predicts more advanced disease and longer operation time. Also in the emergent group have a higher complication rates, longer hospital stay, increased early postoperative morbidity, and lower long term survival in even all same stages.