Primary vs. delayed resection for obstructive left-sided colorectal cancer: impact of surgery on patient outcome

Diseases of the Colon and Rectum
J K JiangJ K Lin

Abstract

By comparing surgical outcomes between primary and delayed resection, we addressed whether and how surgical strategies impacted prognosis of patients with left-sided colorectal cancer underwent emergency curative resection. Between January 1980 and December 2002, a total of 143 patients were identified who presented with obstructive left-sided colorectal cancer and received emergency curative resection in Taipei Veterans General Hospital. Patients were stratified according to the timing of tumor resection into two groups: primary resection and delayed resection. Demographic data of the patients, characteristics of the tumors, and short-term and long-term outcomes were analyzed and compared between the two groups. The demographic data and tumor characteristics did not differ between the two groups except for more rectal cancers in the delayed resection group (P=0.021). Primary resection group had a higher anastomotic leakage rate (P=0.017) and a trend toward a higher mortality rate, which did not reach statistical significance (P=0.063). The median follow-up intervals were similar (60.4 vs. 58.3 months; P=0.79). The median survival tended to be longer in delayed resection group (66 vs. 105 months; P=0.088). Overall five-year and...Continue Reading

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Citations

May 18, 2011·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Zuli YangJianping Wang
Jun 9, 2012·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Fan-Ming ChenJan-Sing Hsieh
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Jun 24, 2021·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Emma RosanderCaroline Nordenvall

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