Key result
Emergency surgery for colorectal cancer was associated with higher overall surgical morbidity (44% vs 12%, P=0.0004) and longer hospital stay compared to elective surgery, but similar 5-year survival.
Why the study?
Does emergency surgery worsen outcomes compared to elective surgery in patients with rectal and left colon carcinoma?
Population
100 patients operated on for cancer of the rectum and left colon, matched for age, stage, tumor location…
Comparison
Emergency surgery vs Elective surgery
Design
Case-control
Follow-up
5 years
Authors
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Emergency colorectal cancer surgery links to higher morbidity and longer stay; leaves open whether timing optimization improves short-term outcomes in prospective studies.
Case-Control (n=100)
No
Does emergency surgery worsen outcomes compared to elective surgery in patients with rectal and left colon carcinoma?
Absolute Event Rate: 44% vs 12%
p-value: p=0.0004
Emergency surgery for colorectal cancer increases immediate postoperative morbidity and hospital stay but does not negatively impact long-term survival compared to elective surgery.
Coco et al. (2005) conducted a case-control in Cancer of the rectum and left colon (n=100). Emergency surgery vs. Elective surgery was evaluated on Overall surgical morbidity (p=0.0004). Emergency surgery for colorectal cancer was associated with higher overall surgical morbidity (44% vs 12%, P=0.0004) and longer hospital stay compared to elective surgery, but similar 5-year survival.
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