| Emergency surgery for complicated colorectal carcinoma: a comparison of older and younger patients. | |
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MedLine Citation:
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PMID: 18402124 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The outcomes after emergency surgery for complicated colorectal cancer of 54 patients >70 years of age (group 1) and 53 patients < or =70 years of age (group 2) treated between 1991 and 2002 were compared. Forty-two patients had obstructions in group 1 and 41 patients had obstructions in group 2. Twelve patients had perforations in each group. Significantly higher ASA grading and APACHE II scores were seen in group 1. The overall and major morbidity and mortality rates in groups 1 and 2 were 81.5% and 58.5% (P = 0.009), 42.6% and 24.6% (P = 0.04), and 27.8% and 1.9% (P = 0.000), respectively. It was concluded that the outcome in older patients who underwent emergency surgery for complicated colorectal carcinoma was poor compared with that of younger patients. Careful preoperative assessment of the patient's general condition and intensive treatment after surgery in those with a poor physical status are recommended. |
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Authors:
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José A Alvarez; Ricardo F Baldonedo; Isabel G Bear; Nuria Truán; Gerardo Pire; Paloma Alvarez |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: International surgery Volume: 92 ISSN: 0020-8868 ISO Abbreviation: Int Surg Publication Date: 2007 Nov-Dec |
Date Detail:
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Created Date: 2008-04-11 Completed Date: 2008-06-17 Revised Date: 2009-11-11 |
Medline Journal Info:
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Nlm Unique ID: 0043524 Medline TA: Int Surg Country: Italy |
Other Details:
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Languages: eng Pagination: 320-6 Citation Subset: IM |
Affiliation:
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Department of General Surgery, Hospital San Agustin, Avilés, Spain. josealvar@telecable.es |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Age Factors Aged Aged, 80 and over Colectomy Colorectal Neoplasms / mortality, surgery* Colostomy Emergencies Female Humans Male Middle Aged Retrospective Studies |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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