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Emergency right hemicolectomy in colon carcinoma: a prospective study
The Australian and New Zealand Journal of Surgery
|October 1, 1986
Summary
Emergency right hemicolectomy for colon cancer shows similar mortality to elective surgery, but higher complication rates for anastomoses. Advanced disease, age, and cardiorespiratory issues significantly impact outcomes.
Area of Science:
- Colorectal Surgery
- Surgical Oncology
- Gastrointestinal Oncology
Background:
- Right hemicolectomy is a common procedure for colon carcinoma.
- Emergency surgery and advanced disease are potential risk factors for morbidity and mortality.
Purpose of the Study:
- To examine the morbidity and mortality associated with right hemicolectomy for colon cancer.
- To assess the influence of emergency surgery and advanced disease on outcomes.
Main Methods:
- Retrospective analysis of 244 patients undergoing right hemicolectomy.
- Comparison of outcomes between emergency (n=57) and elective (n=187) surgery groups.
- Evaluation of factors including disease stage, age, and cardiorespiratory complications.
Main Results:
- Overall mortality was 5.7%, with no significant difference between elective and emergency groups.
- Anastomotic complications were higher in emergency resections and elective palliative surgery compared to elective curative surgery.
- Advanced disease, older age, and cardiorespiratory complications were key factors influencing mortality and morbidity.
Conclusions:
- Emergency right hemicolectomy with anastomosis remains a suitable treatment for obstructing or perforated right colon carcinomas.
- While overall mortality is comparable, careful management of anastomotic complications is crucial, especially in emergency and palliative settings.