RESULTS OF EMERGENCY RESECTIONS PERFORMED RELATIVELY COMPLICATED COLORECTAL CANCER IN PATIENTS OF OLDER AGE GROUPS
https://doi.org/10.33878/2073-7556-2019-18-1-82-88
Abstract
AIM: to assess the effect of age comorbidity on the early and late results of urgent surgery in patients with complicated colorectal cancer. PATIENTS AND METHODS: the study included 1098 patients, which underwent urgent surgery in Smolenskhospitals in 2001-2013 for complicated colorectal cancer. They were divided into 2 groups depending on age: the first group - aged <70 years, the second - aged >70 years. RESULTS: the average age in the first group was 58.2 (18-70) years and 75.8(70-93) years in the second group. Complications IIIb-V by Clavien-Dindo scale were significaтntly higher in the 2ndgroup (p<0.0001). R0 resections were performed in 86.6% in first group and 79.4% - in second one (p<0.0001). The 5-year overall survival was significantly better for the first group (34.5% vs 15.2%, p = 0.00001). Disease-free survival had no difference between groups 1 and 2 in specialized hospitals (31.8% vs 29.1%, p=0.07). CONCLUSION: R0 resections in specialized hospitals for older patients with complicated colorectal cancer provide better survival
About the Authors
S. N. Schaeva
Smolensk State Medical University, Ministry of Health of Russia
Russian Federation
Russian Federation
A. G. Efron
Smolensk Regional Oncology Clinical Hospital
Russian Federation
Russian Federation
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For citations:
Schaeva S.N., Efron A.G. RESULTS OF EMERGENCY RESECTIONS PERFORMED RELATIVELY COMPLICATED COLORECTAL CANCER IN PATIENTS OF OLDER AGE GROUPS. Koloproktologia. 2019;18(1(67)):82-88. (In Russ.) https://doi.org/10.33878/2073-7556-2019-18-1-82-88
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