학술논문

Oncological outcomes of elective versus emergency surgery for colon cancer: A tertiary academic center experience.
Document Type
Article
Source
Saudi Journal of Gastroenterology. Sep/Oct2023, Vol. 29 Issue 5, p316-322. 7p.
Subject
*COLON tumors
*ELECTIVE surgery
*HOSPITAL emergency services
*RETROSPECTIVE studies
*CANCER relapse
*TREATMENT effectiveness
*COMPARATIVE studies
*DESCRIPTIVE statistics
*RESEARCH funding
*PROGRESSION-free survival
*OVERALL survival
Language
ISSN
1319-3767
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. [ABSTRACT FROM AUTHOR]