Emergency Surgery in Colorectal Cancer: Experience of a County Hospital at a 10-Year Interval. Comparison of Immediate Postoperative Results

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Emergency Surgery in Colorectal Cancer: Experience of a County Hospital at a 10-Year Interval. Comparison of Immediate Postoperative Results

M. Leşe, A. Szasz, I. Leşe
Original article, no. 3, 2014
A great majority of procedures for colorectal cancer areperformed as emergencies, implying a high morbidity andmortality. The aim of this study is to compare the immediatepostoperative results of emergency procedures for colorectalcancer between a 10 year interval in a single centre. We performeda retrospective research of the patients’ files, totalizing24 emergency operations in 2001 and 22 emergency operationsin 2011. We followed demographic data, the complicationwhich lead to emergency surgery, the time interval between theonset of the complication and the time of surgery, the type ofprocedure performed, postoperative morbidity and mortality. In2001 we noticed morbidity in 66.66% of the cases (16 patients)and a mortality of 41.66% (10 patients), while in 2011 the postoperativemorbidity was 54.54% (12 patients) and a mortality of36.36% (8 patients). Conclusion: although both morbidity andmortality rates decreased in a 10 year interval, they still presenthigh values, and the difference is not statistically significant(p = 0.21 and 0.40).