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Article: Emergency resection and primary anastomosis for left-sided obstructing colorectal carcinoma in the elderly

TitleEmergency resection and primary anastomosis for left-sided obstructing colorectal carcinoma in the elderly
Authors
Issue Date1998
PublisherJohn Wiley & Sons Ltd. The Journal's web site is located at http://www.bjs.co.uk
Citation
British Journal Of Surgery, 1998, v. 85 n. 11, p. 1539-1542 How to Cite?
AbstractBackground: Emergency colorectal surgery in the elderly has been associated with a high mortality rate. Although the current trend for the management of obstructing left-sided colorectal carcinoma favours primary resection and anastomosis, the safety and benefits of this approach in the elderly have not been studied. Methods: Some 57 elderly (aged more than 70 years) and 59 younger patients underwent emergency resection of an acutely obstructing left-sided colorectal carcinoma. Postoperative results in the two groups were compared. Results: The primary resection rate was 95 per cent in the elderly and 89 per cent in younger patients (P = 0.70), with a primary anastomosis rate of 84 per cent and 78 per cent respectively (P = 0.64). Elderly patients had a significantly higher incidence of premorbid risk factors and postoperative cardiorespiratory complications but no increase in surgical complications. Anastomotic leaks occurred in 6 per cent of the elderly and 4 per cent of younger patients (P = 0.65), and the hospital mortality rate was 9 and 5 per cent respectively (P = 0.48). Conclusion: Emergency resection and primary anastomosis for left-sided obstructing colorectal carcinoma can be performed with favourable outcome in the elderly and should be the treatment of choice in most elderly patients.
Persistent Identifierhttp://hdl.handle.net/10722/83571
ISSN
2015 Impact Factor: 5.596
2015 SCImago Journal Rankings: 2.966
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorPoon, RTPen_HK
dc.contributor.authorLaw, WLen_HK
dc.contributor.authorChu, KWen_HK
dc.contributor.authorWong, Jen_HK
dc.date.accessioned2010-09-06T08:42:37Z-
dc.date.available2010-09-06T08:42:37Z-
dc.date.issued1998en_HK
dc.identifier.citationBritish Journal Of Surgery, 1998, v. 85 n. 11, p. 1539-1542en_HK
dc.identifier.issn0007-1323en_HK
dc.identifier.urihttp://hdl.handle.net/10722/83571-
dc.description.abstractBackground: Emergency colorectal surgery in the elderly has been associated with a high mortality rate. Although the current trend for the management of obstructing left-sided colorectal carcinoma favours primary resection and anastomosis, the safety and benefits of this approach in the elderly have not been studied. Methods: Some 57 elderly (aged more than 70 years) and 59 younger patients underwent emergency resection of an acutely obstructing left-sided colorectal carcinoma. Postoperative results in the two groups were compared. Results: The primary resection rate was 95 per cent in the elderly and 89 per cent in younger patients (P = 0.70), with a primary anastomosis rate of 84 per cent and 78 per cent respectively (P = 0.64). Elderly patients had a significantly higher incidence of premorbid risk factors and postoperative cardiorespiratory complications but no increase in surgical complications. Anastomotic leaks occurred in 6 per cent of the elderly and 4 per cent of younger patients (P = 0.65), and the hospital mortality rate was 9 and 5 per cent respectively (P = 0.48). Conclusion: Emergency resection and primary anastomosis for left-sided obstructing colorectal carcinoma can be performed with favourable outcome in the elderly and should be the treatment of choice in most elderly patients.en_HK
dc.languageengen_HK
dc.publisherJohn Wiley & Sons Ltd. The Journal's web site is located at http://www.bjs.co.uken_HK
dc.relation.ispartofBritish Journal of Surgeryen_HK
dc.rightsBritish Journal of Surgery. Copyright © John Wiley & Sons Ltd.en_HK
dc.titleEmergency resection and primary anastomosis for left-sided obstructing colorectal carcinoma in the elderlyen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0007-1323&volume=85&spage=1539&epage=1542&date=1998&atitle=Emergency+resection+and+primary+anastomosis+for+left-sided+obstructing+colorectal+carcinoma+in+the+elderlyen_HK
dc.identifier.emailPoon, RTP: poontp@hku.hken_HK
dc.identifier.emailLaw, WL: lawwl@hkucc.hku.hken_HK
dc.identifier.emailWong, J: jwong@hkucc.hku.hken_HK
dc.identifier.authorityPoon, RTP=rp00446en_HK
dc.identifier.authorityLaw, WL=rp00436en_HK
dc.identifier.authorityWong, J=rp00322en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1046/j.1365-2168.1998.00903.xen_HK
dc.identifier.pmid9823920-
dc.identifier.scopuseid_2-s2.0-0031758782en_HK
dc.identifier.hkuros39218en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0031758782&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume85en_HK
dc.identifier.issue11en_HK
dc.identifier.spage1539en_HK
dc.identifier.epage1542en_HK
dc.identifier.isiWOS:000076938400019-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridPoon, RTP=7103097223en_HK
dc.identifier.scopusauthoridLaw, WL=7103147867en_HK
dc.identifier.scopusauthoridChu, KW=7402453653en_HK
dc.identifier.scopusauthoridWong, J=8049324500en_HK

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