Emergency Curative Resection of Colorectal Cancer

Emergency Curative Resection of Colorectal Cancer, Do it With Caution. A Comparative Case Series

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