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High mortality rates after nonelective colon cancer resection: results of a national audit

Bakker, I. S., Snijders, H. S., Grossmann, I., Karsten, T. M., Havenga, K. & Wiggers, T., Jun-2016, In : Colorectal Disease. 18, 6, p. 612-621 10 p.

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  • High mortality rates after nonelective colon cancer resection_ results of a national audit

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DOI

AimColon cancer resection in a nonelective setting is associated with high rates of morbidity and mortality. The aim of this retrospective study is to identify risk factors for overall mortality after colon cancer resection with a special focus on nonelective resection.

MethodData were obtained from the Dutch Surgical Colorectal Audit. Patients undergoing colon cancer resection in the Netherlands between January 2009 and December 2013 were included. Patient, treatment and tumour factors were analysed in relation to the urgency of surgery. The primary outcome was 30-day postoperative mortality.

ResultsThe study included 30907 patients. A nonelective colon cancer resection was performed in 5934 (19.2%) patients. There was a 4.4% overall mortality rate, with significantly more deaths after nonelective surgery (8.5% vs 3.4%, P

ConclusionNonelective colon cancer resection is associated with high mortality. In particular, right-sided resections and patients with tumour perforation are at particularly high risk. The optimization of patients prior to surgery and expeditious operation after diagnosis might prevent the need for a nonelective resection.

Original languageEnglish
Pages (from-to)612-621
Number of pages10
JournalColorectal Disease
Volume18
Issue number6
Publication statusPublished - Jun-2016

    Keywords

  • Anastomotic leakage, nonelective, colon cancer, mortality, ANASTOMOTIC LEAKAGE, COLORECTAL-CANCER, RISK-FACTORS, MULTIVARIATE-ANALYSIS, EMERGENCY-SURGERY, LOCAL RECURRENCE, ELDERLY-PATIENTS, SURVIVAL, OUTCOMES, COLECTOMY

ID: 40764458