An evaluation of treatment results of surgery in emergency versus elective colorectal cancer patients

Abstract

Objective: Colorectal cancer is still the most common cause of cancer related deaths in the world despite the improvements in diagnosis and.treatment modalities as well as the prevalance of the community-based screening methods. Symptoms of colorectal cancer are non-specific and they are usually seen after the local progression of the tumour. In a number of patients with advanced stages of colorectal cancers, sympton of obstruction is observed without any detectable symptoms beforehand, and patients are are admitted to emergency departments with ileus. These conditions are indications of surgery, and mortality and morbidity rates can be quite high. In this study, by comparing the postoperative treatment results of colorectal cancer patients who underwent surgery under emergency or elective treatment, we aim to determine the factors associated with early diagnosis and survival.

Material and Methods: The records of the colorectal patients who treats between the 2009– 2013 were analyzed retrospectively. The groups data; on patient age, gender, operation, intraoperative results, hospitalization day, comorbid disease, postoperative complications and patological results were evaluated and compared each other.

Results: Between age, gender distribution, and the pathology results, there was no statistical difference between the groups (p> 0.05). The difference between; postoperative length of stay in hospital, comorbid diseases, pathological stage, postoperative complications was statistically significant in terms of both groups. (p <0.05). Longer duration of hospitalization, advanced stages of hospital admissions, surgical site infection, evisceration and anastomotic leakage complications were detected more in patients in the emergency surgery group.

Conclusion: Determining the risk for colorectal cancer patients can be diagnosed at an early stage and asymptomatic when it is necessary to incorporate into effective screening programs.This approach will be beneficial to the treatment outcomes, complication rates, the length of stay, survival and increase the treatment results.

Ethics committee approval was received for this study from the ethics committee of Ankara Dışkapı Yıldırım Beyazıt Training and Research Hospital.

Datas were collected retrospectively and informed consent cannot be collected.

Externally peer-reviewed.

Concept - H.K., B.B.; Design - A.Ş., M.A.; Supervision - H.K., K.B.Y.; Data Collection and/or Processing - B.B., K.B.Y.; Analysis and/or Interpretation - H.K., A.Ş., M.A.; Literature Review - M.A., A.Ş.; Writer - B.B., K.B.Y.; Critical Review - H.K., M.A., B.B.

No conflict of interest was declared by the authors.

The authors declared that this study has received no financial support.