The Factors Effecting Mortality in Emergency and Elective Colorectal Cancer Surgery
INTRODUCTION: Colorectal cancers (CRC) are amongst the mostly commonly encountered cancers. The symptoms associated with CRCs depend on the tumour localization, stage and complications during diagnosis. Here we aimed to investigate the mortality rates of elective and emergent cases and to reveal fac...
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Published in | Turkish journal of colorectal disease Vol. 26; no. 3; pp. 77 - 82 |
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Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
Published |
Galenos Publishing House
29.09.2016
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Subjects | |
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Abstract | INTRODUCTION: Colorectal cancers (CRC) are amongst the mostly commonly encountered cancers. The symptoms associated with CRCs depend on the tumour localization, stage and complications during diagnosis. Here we aimed to investigate the mortality rates of elective and emergent cases and to reveal factors affecting mortality. METHODS: Patients that had undergone surgery after being diagnosed as CRC were sorted into two groups: group one (emergency cases) and group two (elective cases). Groups were compared in terms of gender, comorbid diseases, liver metastases, anastomotic leaks, tumoural colon segments, mortality rates, perioperative urea, creatinine and haemoglobine values. RESULTS: The mean age of the 308 patients was 62.4 ± 11.9 and the male/female ratio was 1.4. Fifty-three patients were operated emergently. Two-hundred-sixteen patients had tumours located on the rectosigmoid junction. Seventeen patients had mortality on early postoperative 30 day. Mean age, mortality rate and liver metastases were higher in group 1 (p: 0.037, p: 0.007 ve p<0.001) than in group two. Elective cases who had mortality had higher mean age, liver metastase rate, preoperative and postoperative urea and creatinine rates than living elective cases (p: 0.003; p<0.001; p: 0.003; p: 0.002 and p: 0.044). Emergent cases who had mortality had higher postoperative creatine values and postoperative pulmonary embolism rates (p: 0.040 and p: 0.013) than living emergent cases. DISCUSSION AND CONCLUSION: Emergent cases who had have higher creatinine values and who had have pulmonary embolism have higher mortality rates than other cases. Otherwise, mortality amongst elective cases were dependent on many factors. |
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AbstractList | INTRODUCTION: Colorectal cancers (CRC) are amongst the mostly commonly encountered cancers. The symptoms associated with CRCs depend on the tumour localization, stage and complications during diagnosis. Here we aimed to investigate the mortality rates of elective and emergent cases and to reveal factors affecting mortality. METHODS: Patients that had undergone surgery after being diagnosed as CRC were sorted into two groups: group one (emergency cases) and group two (elective cases). Groups were compared in terms of gender, comorbid diseases, liver metastases, anastomotic leaks, tumoural colon segments, mortality rates, perioperative urea, creatinine and haemoglobine values. RESULTS: The mean age of the 308 patients was 62.4 ± 11.9 and the male/female ratio was 1.4. Fifty-three patients were operated emergently. Two-hundred-sixteen patients had tumours located on the rectosigmoid junction. Seventeen patients had mortality on early postoperative 30 day. Mean age, mortality rate and liver metastases were higher in group 1 (p: 0.037, p: 0.007 ve p<0.001) than in group two. Elective cases who had mortality had higher mean age, liver metastase rate, preoperative and postoperative urea and creatinine rates than living elective cases (p: 0.003; p<0.001; p: 0.003; p: 0.002 and p: 0.044). Emergent cases who had mortality had higher postoperative creatine values and postoperative pulmonary embolism rates (p: 0.040 and p: 0.013) than living emergent cases. DISCUSSION AND CONCLUSION: Emergent cases who had have higher creatinine values and who had have pulmonary embolism have higher mortality rates than other cases. Otherwise, mortality amongst elective cases were dependent on many factors. |
Author | Gülay Özgehan Turgut Anuk Şahin Kahramanca İsmail Emre Gökce Gülşen Çığşar Hakan Güzel Ali Cihat Yıldırım |
Author_xml | – sequence: 1 fullname: Şahin Kahramanca organization: Kars State Hospital, Clinic of General Surgery, Kars, Turkey – sequence: 2 fullname: Turgut Anuk organization: Kafkas University Faculty of Medicine, Department of General Surgery, Kars, Turkey – sequence: 3 fullname: Ali Cihat Yıldırım organization: Kars State Hospital, Clinic of General Surgery, Kars, Turkey – sequence: 4 fullname: Gülay Özgehan organization: Dışkapı Yıldırım Beyazıt Teaching and Research Hospital, Clinic of General Surgery, Ankara, Turkey – sequence: 5 fullname: İsmail Emre Gökce organization: Ulus State Hospital, Clinic of General Surgery, Ankara, Turkey – sequence: 6 fullname: Hakan Güzel organization: Dışkapı Yıldırım Beyazıt Teaching and Research Hospital, Clinic of General Surgery, Ankara, Turkey – sequence: 7 fullname: Gülşen Çığşar organization: Kafkas University Faculty of Medicine, Department of Emergency Medicine, Kars, Turkey |
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Snippet | INTRODUCTION: Colorectal cancers (CRC) are amongst the mostly commonly encountered cancers. The symptoms associated with CRCs depend on the tumour... |
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Title | The Factors Effecting Mortality in Emergency and Elective Colorectal Cancer Surgery |
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