The feasibility and efficacy of emergency curative resection of complicated colorectal cancer is still controversial. This prospective study aim is to assess surgical and oncologic outcomes after emergency compared to elective curative resection of colorectal cancer

60 consecutive patients presented with complicated colorectal cancer managed by emergency surgery were included and compared to another 155 consecutive patients admitted during the same period with uncomplicated colorectal cancer managed by elective surgery. Both groups were compared regarding curative resection rate, early postoperative mortality and morbidity, 3-years tumor recurrence and survival rates.

Inclusion Criteria:

• All patients presented with Potentially operable colorectal cancer
• No clinical or radiological evidence of metastatic disease

Exclusion Criteria:

• Patients received preoperative chemoradiation
• Patients with clinical or radiological evidence of metastatic disease
• Patients with intraoperative evidence of metastatic disease
• Patients with intraoperative evidence of irresectable disease
• Patients with incomplete follow up

This study included 60 consecutive patients presented by complicated colorectal cancer treated by emergency surgery at Alexandria University hospital between January 2015 and January 2017 (Group I). Another 155 patients with uncomplicated colorectal cancer treated by elective surgery during the same period were included (Group II).