Oncological Outcomes of Elective Versus Emergency Surgery for Colon Cancer: A Tertiary Academic Center Experience

Overview

Journal Saudi J Gastroenterol

Specialty Gastroenterology

Date 2023 Apr 3

PMID 37006086

Authors

Thamer A Bin Traiki

Sulaiman A Alshammari

Razan N AlRabah

Amirah M AlZahrani

Saud T Alshenaifi

Noura S Alhassan

Maha-Hamadien Abdulla

Ahmad M Zubaidi

Omar A Al-Obeed

Khayal A Alkhayal

Affiliations

Soon will be listed here.

Abstract

Background: In this study, we aimed to identify the oncological outcomes in colon cancer patients who underwent elective versus emergency curative resection.

Methods: All patients who underwent curative resection for colon cancer between July 2015 and December 2019 were retrospectively reviewed and analyzed. Patients were divided into two groups based on the presentation into elective and emergency groups.

Results: A total of 215 patients with colon cancer were admitted and underwent curative surgical resection. Of those, 145 patients (67.4%) were elective cases, and 70 (32.5%) were emergency cases. Family history of malignancy was positive in 44 patients (20.5%) and significantly more common in the emergency group (P = 0.016). The emergency group had higher T and TNM stages (P = 0.001). The 3-year survival rate was 60.9% and significantly less in the emergency group (P = 0.026). The mean duration from surgery to recurrence, 3-year disease-free survival, and overall survival were 1.19, 2.81, and 3.11, respectively.

Conclusion: Elective group was associated with better 3-year survival, longer overall, and 3-year disease-free survival compared to the emergency group. The disease recurrence rate was comparable in both groups, mainly in the first two years after curative resection.

Citing Articles

A Retrospective Analysis of Emergency Versus Elective Surgical Outcomes in Colon Cancer Patients: A Single-Center Study.

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PMID: 39518672 PMC: 11546201. DOI: 10.3390/jcm13216533.

Factors associated with 30-day mortality and morbidity in patients undergoing emergency colorectal surgery.

Alselaim N, Alsemari M, Alyabsi M, Al-Mutairi A Ann Saudi Med. 2023; 43(6):364-372.

PMID: 38071441 PMC: 11182427. DOI: 10.5144/0256-4947.2023.364.

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