Surgical outcome and clinicopathological characteristics of emergency presentation elective cases of colorectal cancer

Ahmadinejad, M. and Pouryaghobi, S. M. and Bayat, F. and Bolvardi, E. and Chokan, N. M. J. and Masoumi, B. and Ahmadi, K. (2018) Surgical outcome and clinicopathological characteristics of emergency presentation elective cases of colorectal cancer. Archives of Medical Science, 14 (4). pp. 826-829.

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Abstract

Introduction: The aim of this study was to evaluate the significance of clinicopathological characteristics of colorectal cancer patients undergoing emergency and elective surgery. Material and methods: In total, 116 tumors from patients treated surgically for colorectal cancer at four hospitals in Tehran between 2008 and 2013 were analyzed in the current study. Results: Our findings revealed that the emergency cases were significantly more likely to have an advanced TNM stage (p = 0.027) and histologic grade (p = 0.01) compared with the elective patients. Furthermore, the nature of surgery was significantly associated with vascular and perineural invasion (p = 0.021; p = 0.001). We also evaluated the association of gender, age, and tumor location with the nature of surgical presentation. However, no association was found between these parameters and the nature of surgery. Emergency was also correlated with greater length of hospital stay and higher rate of admission to the intensive care unit. The mortality rate was 20 in emergency cases, while patients with elective surgery had 5.63 perioperative mortality (p = 0.001). The emergency patients had a higher rate of mortality. Conclusions: Our data indicated that colorectal cancer patients undergoing emergency surgery showed an advanced stage. The emergency patients had a higher rate of mortality than elective cases. Copyright © 2016 Termedia & Banach.

Item Type: Article
Additional Information: Export Date: 16 February 2020 Correspondence Address: Ahmadi, K.; Department of Emergency Medicine, Alborz University of Medical SciencesIran; email: kooroshem@gmail.com
Uncontrolled Keywords: Colorectal Emergency Mortality Patients Tumor abdominal pain acute appendicitis adult aged Article bleeding body weight loss cancer staging clinical outcome colorectal cancer colorectal tumor defecation habit elective surgery emergency surgery female gynecologic disease hernia incarceration histopathology human intensive care unit length of stay major clinical study male middle aged mortality rate mortality risk obstruction perforation perineural invasion rectum hemorrhage
Subjects: WI Digestive System
WO Surgery
QZ pathology-neoplasms-Genetics
Divisions: Mashhad University of Medical Sciences
Depositing User: lib2 lib2 lib2
Date Deposited: 10 Jun 2020 05:00
Last Modified: 10 Jun 2020 05:00
URI: http://eprints.mums.ac.ir/id/eprint/17173

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