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The aim of this observational study is to determine effect of stent placement on survival results in first three years in a patient who applied to the emergency department with obstruction due to colorectal cancer. Eligible patients divided into two groups. Group A includes patients underwent emergency surgery directly. Patients underwent elective surgery following stent placement as bridge-to-surgery. Patients underwent elective surgery following bridge-to-surgery stent placement were accepted as Group B.
Patients who applied to emergency department of a single tertiary referral center between January 2016 and December 2020 and diagnosed as left sided obstructive colorectal cancer were included in this retrospective study. All patients were equal or older than 18 years and histopathologically found to have primary colorectal malignant neoplasms.
Patients were excluded from the analysis if they met any of the following criteria:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group A - Emergency Surgery Group | Patients underwent emergency surgery directly after coming to emergency department due to left sided obstructive colorectal cancer | ||
| Group B - Stent Group | Left sided obstructive colorectal cancer patients underwent elective surgery following decompression via self-expandable metallic stent placement. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Self-Expandable Metallic Stent Placement | Procedure |
|
| Measure | Description | Time Frame |
|---|---|---|
| Overall Survival | The survival time of patient after being diagnosed as colorectal cancer after coming to emergency department | 3 years |
| Disease Free Survival | The local or systemic recurrence free time period of patient after being diagnosed as colorectal cancer after coming to emergency department | 3 years |
| Measure | Description | Time Frame |
|---|---|---|
| Mortality | Death of patient in postoperative first three months | 90 days |
| Serious complications | Postoperative complications of patients that have a Clavien-Dindo Score greater than or equal to 3 |
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Inclusion Criteria:
Exclusion Criteria:
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Patients come to emergency department and diagnosed as left sided obstructive colorectal cancer
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| Name | Affiliation | Role |
|---|---|---|
| Ahmet Sürek | Bakirkoy Dr. Sadi Konuk Research and Training Hospital | Study Chair |
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The datasets generated and analysed during the current study are not publicly available due to institutional policies but are available from the contact person on reasonable request.
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| ID | Term |
|---|---|
| D015179 | Colorectal Neoplasms |
| D001733 | Bites and Stings |
| ID | Term |
|---|---|
| D007414 | Intestinal Neoplasms |
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
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| 90 days |
| Minimally invasive surgery | Patients that found a chance for fully minimally invasive surgery for resection of colorectal cancer | 90 days |
| End colostomy rate | Patients that have a end colostomy at the end of surgical resection of colorectal cancer | 90 days |
| D009369 | Neoplasms |
| D004066 | Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |
| D012002 | Rectal Diseases |
| D011041 | Poisoning |
| D064419 | Chemically-Induced Disorders |
| D014947 | Wounds and Injuries |