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November 1, 1998British journal of surgeryOpen Access

Emergency resection and primary anastomosis for left-sided obstructing colorectal carcinoma in the elderly

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Why the study?

Does emergency resection and primary anastomosis for left-sided obstructing colorectal carcinoma result in similar postoperative outcomes in elderly patients compared to younger patients?

Population

116 patients undergoing emergency resection of an acutely obstructing left-sided colorectal carcinoma.

Comparison

Emergency resection and primary anastomosis in… vs Emergency resection and primary anastomosis in…

Design

Cohort

Follow-up

hospital stay

Authors

RPRonnie T. P. PoonHarvard UniversityWLW-L LawChinese University of Hong KongKCK-W Chu

Discussion

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Member takes

Implication

Supports primary anastomosis feasibility in selected elderly patients; hypothesis-generating and requires prospective validation before practice change.

Structured PICO

Does emergency resection and primary anastomosis for left-sided obstructing colorectal carcinoma result in similar postoperative outcomes in elderly patients compared to younger patients?

P
Population
116 patients (57 elderly aged >70 years and 59 younger patients) undergoing emergency resection of an acutely obstructing left-sided colorectal carcinoma.
I
Intervention
Emergency resection and primary anastomosis in elderly patients (>70 years)
C
Comparator
Emergency resection and primary anastomosis in younger patients
O
Outcome
Postoperative results including primary resection rate, primary anastomosis rate, surgical complications, anastomotic leaks, and hospital mortalityhard clinical

Emergency resection and primary anastomosis for left-sided obstructing colorectal carcinoma can be performed with favorable outcomes in the elderly, comparable to younger patients.

Cite This Study

Poon et al. (1998) studied this question.

synapsesocial.com/papers/6a7290976ceb2bbd16e062cbhttps://doi.org/10.1046/j.1365-2168.1998.00903.x
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Operative Risk Factors of Colon Resection in the Elderly1980 · 140 citations
  2. 2Management variability in surgery for colorectal emergencies1992 · 63 citations
  3. 3Single-stage treatment for malignant left-sided colonic obstruction: A prospective randomized clinical trial comparing subtotal colectomy with segmental resection following intraoperative irrigation1995 · 224 citations
  4. 4HARTMANN'S PROCEDURE FOR CARCINOMA OF THE RECTUM AND SIGMOID COLON1992 · 25 citations
  5. 5Elective versus emergency surgery for patients with colorectal cancer1992 · 157 citations