Perforated colorectal cancers: clinical outcomes of 18 patients who underwent emergency surgery

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dc.authorid0000-0002-9178-7843en_US
dc.contributor.authorGök, Mehmet Ali
dc.contributor.authorKafadar, Mehmet Tolga
dc.contributor.authorYeğen, Serkan Fatih
dc.date.accessioned2021-07-02T08:07:58Z
dc.date.available2021-07-02T08:07:58Z
dc.date.issued2021en_US
dc.departmentDicle Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Genel Cerrahi Ana Bilim Dalıen_US
dc.descriptionWOS:000659394500013
dc.description.abstractIntroduction: Although colon cancer perforations are rare among acute abdominal syndromes, it is a clinical picture with high mortality that requires urgent treatment. Aim: In this study, the clinical results of patients who were operated in emergency conditions due to colorectal cancer perforation were evaluated. Material and methods: The data of 18 patients treated for colorectal cancer perforation in our clinic between February 2014 and February 2017 were retrospectively reviewed. The following data were evaluated: demographic features of the patients, location of the tumour, metastasis, stage of the tumour, number of lymph nodes dissected, survival, type, and prognosis of the surgery. Results: Eight (44%) of 18 patients with perforated colon cancers were female and 10 (56%) were male. The mean age was 65.2 (31-104) years. Four of the patients had liver metastasis only, and 5 had multiple metastases. All cases had sudden abdominal pain and acute abdominal clinical findings. Fourteen of the patients underwent full resection, and 4 of them underwent partial resection and trephine stoma (colostomy). Perioperative mortality was not observed. The long-term mortality rate in our study was 77.7% (n = 14), and the operative mortality rate was 44% (n = 8). Additional organ injuries occurred during resection in 2 patients. Conclusions: Colorectal cancer perforation seen in advanced ages is one of the causes of acute abdominal syndrome, which can be fatal. The general condition of the patient and the size and localization of the perforation should be taken into consideration in the choice of treatment. Curative surgery can also be performed in perforated colorectal cancers. However, partial resection and trephine colostomy should be performed in patients with multiple metastases and poor general condition.en_US
dc.identifier.citationGök, M.A., Kafadar, M.T. ve Yeğen, S.F. (2021). Perforated colorectal cancers: clinical outcomes of 18 patients who underwent emergency surgery. Gastroenterology Review, 16(2), 161-165.en_US
dc.identifier.doi10.5114/pg.2021.106667
dc.identifier.endpage165en_US
dc.identifier.issn1895-5770
dc.identifier.issn1897-4317
dc.identifier.issue2en_US
dc.identifier.pmid34276844
dc.identifier.scopus2-s2.0-85107923950
dc.identifier.scopusqualityQ3
dc.identifier.startpage161en_US
dc.identifier.urihttps://www.termedia.pl/Perforated-colorectal-cancers-clinical-outcomes-r-nof-18-patients-who-underwent-emergency-surgery,41,44287,0,1.html
dc.identifier.urihttps://hdl.handle.net/11468/7203
dc.identifier.volume16en_US
dc.identifier.wosWOS:000659394500013
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorKafadar, Mehmet Tolga
dc.language.isoenen_US
dc.publisherTermedia Publishing House LTDen_US
dc.relation.ispartofGastroenterology Review
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectColorectal cancersen_US
dc.subjectPerforationen_US
dc.subjectEmergency surgeryen_US
dc.subjectMortalityen_US
dc.titlePerforated colorectal cancers: clinical outcomes of 18 patients who underwent emergency surgeryen_US
dc.titlePerforated colorectal cancers: clinical outcomes of 18 patients who underwent emergency surgery
dc.typeArticleen_US

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