Oncological outcomes of elective versus emergency surgery for colon cancer: A tertiary academic center experience

Background: In this study, we aimed to identify the oncological outcomes in colon cancer patients who underwent elective versus emergency curative resection. Methods: All patients who underwent curative resection for colon cancer between July 2015 and December 2019 were retrospectively reviewed and...

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Main Authors: Thamer A Bin Traiki, Sulaiman A AlShammari, Razan N AlRabah, Amirah M AlZahrani, Saud T Alshenaifi, Noura S Alhassan, Maha-Hamadien Abdulla, Ahmad M Zubaidi, Omar A Al-Obeed, Khayal A Alkhayal
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:The Saudi Journal of Gastroenterology
Subjects:
Online Access:http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2023;volume=29;issue=5;spage=316;epage=322;aulast=Bin
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author Thamer A Bin Traiki
Sulaiman A AlShammari
Razan N AlRabah
Amirah M AlZahrani
Saud T Alshenaifi
Noura S Alhassan
Maha-Hamadien Abdulla
Ahmad M Zubaidi
Omar A Al-Obeed
Khayal A Alkhayal
author_facet Thamer A Bin Traiki
Sulaiman A AlShammari
Razan N AlRabah
Amirah M AlZahrani
Saud T Alshenaifi
Noura S Alhassan
Maha-Hamadien Abdulla
Ahmad M Zubaidi
Omar A Al-Obeed
Khayal A Alkhayal
author_sort Thamer A Bin Traiki
collection DOAJ
description Background: In this study, we aimed to identify the oncological outcomes in colon cancer patients who underwent elective versus emergency curative resection. Methods: All patients who underwent curative resection for colon cancer between July 2015 and December 2019 were retrospectively reviewed and analyzed. Patients were divided into two groups based on the presentation into elective and emergency groups. Results: A total of 215 patients with colon cancer were admitted and underwent curative surgical resection. Of those, 145 patients (67.4%) were elective cases, and 70 (32.5%) were emergency cases. Family history of malignancy was positive in 44 patients (20.5%) and significantly more common in the emergency group (P = 0.016). The emergency group had higher T and TNM stages (P = 0.001). The 3-year survival rate was 60.9% and significantly less in the emergency group (P = 0.026). The mean duration from surgery to recurrence, 3-year disease-free survival, and overall survival were 1.19, 2.81, and 3.11, respectively. Conclusion: Elective group was associated with better 3-year survival, longer overall, and 3-year disease-free survival compared to the emergency group. The disease recurrence rate was comparable in both groups, mainly in the first two years after curative resection.
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spelling doaj.art-6e26dcf5f9d44abbb5199ae93bc7de802023-10-30T12:01:05ZengWolters Kluwer Medknow PublicationsThe Saudi Journal of Gastroenterology1319-37671998-40492023-01-0129531632210.4103/sjg.sjg_31_23Oncological outcomes of elective versus emergency surgery for colon cancer: A tertiary academic center experienceThamer A Bin TraikiSulaiman A AlShammariRazan N AlRabahAmirah M AlZahraniSaud T AlshenaifiNoura S AlhassanMaha-Hamadien AbdullaAhmad M ZubaidiOmar A Al-ObeedKhayal A AlkhayalBackground: In this study, we aimed to identify the oncological outcomes in colon cancer patients who underwent elective versus emergency curative resection. Methods: All patients who underwent curative resection for colon cancer between July 2015 and December 2019 were retrospectively reviewed and analyzed. Patients were divided into two groups based on the presentation into elective and emergency groups. Results: A total of 215 patients with colon cancer were admitted and underwent curative surgical resection. Of those, 145 patients (67.4%) were elective cases, and 70 (32.5%) were emergency cases. Family history of malignancy was positive in 44 patients (20.5%) and significantly more common in the emergency group (P = 0.016). The emergency group had higher T and TNM stages (P = 0.001). The 3-year survival rate was 60.9% and significantly less in the emergency group (P = 0.026). The mean duration from surgery to recurrence, 3-year disease-free survival, and overall survival were 1.19, 2.81, and 3.11, respectively. Conclusion: Elective group was associated with better 3-year survival, longer overall, and 3-year disease-free survival compared to the emergency group. The disease recurrence rate was comparable in both groups, mainly in the first two years after curative resection.http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2023;volume=29;issue=5;spage=316;epage=322;aulast=Bincolon canceroncological outcomesoverall survivalprognostic variables
spellingShingle Thamer A Bin Traiki
Sulaiman A AlShammari
Razan N AlRabah
Amirah M AlZahrani
Saud T Alshenaifi
Noura S Alhassan
Maha-Hamadien Abdulla
Ahmad M Zubaidi
Omar A Al-Obeed
Khayal A Alkhayal
Oncological outcomes of elective versus emergency surgery for colon cancer: A tertiary academic center experience
The Saudi Journal of Gastroenterology
colon cancer
oncological outcomes
overall survival
prognostic variables
title Oncological outcomes of elective versus emergency surgery for colon cancer: A tertiary academic center experience
title_full Oncological outcomes of elective versus emergency surgery for colon cancer: A tertiary academic center experience
title_fullStr Oncological outcomes of elective versus emergency surgery for colon cancer: A tertiary academic center experience
title_full_unstemmed Oncological outcomes of elective versus emergency surgery for colon cancer: A tertiary academic center experience
title_short Oncological outcomes of elective versus emergency surgery for colon cancer: A tertiary academic center experience
title_sort oncological outcomes of elective versus emergency surgery for colon cancer a tertiary academic center experience
topic colon cancer
oncological outcomes
overall survival
prognostic variables
url http://www.saudijgastro.com/article.asp?issn=1319-3767;year=2023;volume=29;issue=5;spage=316;epage=322;aulast=Bin
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