TPTh 8.05 Morbidity & Mortality in Emergency Colorectal Cancer (CRC) Resections: A Cohort Study

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ID: 323901
2026
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Abstract
Abstract Aim Emergency-CRC-resections-accounts 20% of CRC-resections in last-decade. Emergency-surgery is associated with high-morbidity (<50%) & mortality (<20 %). Emergency-CRC frequently presents as obstruction, perforation & other constitutional-symptoms. Aim of study is to assess surgical-outcomes of emergency-CRC resections. Methods Cohort-study carried out: from Jan’2007-Jan’2026 at single institution. Descriptive-demography & post-operative-surgical-outcomes were analysed in emergency-CRC-resections (perforation, obstruction & others). All elective CRC-resections carried out since 2007 (controls). Results Perforation(n=103) Obstruction(n=295) Other(n=37) Elective(n=1560) Kruskal-Wallis(p-value)-ANOVA Age(yrs) 69.1±1.5 72.1±0.7 53.4±3.5 70.3±0.3 <0.0001 Sex(M:F) 48:55 154:141 18:19 868:692 <0.0001 ASA (median) 3±0.5 3±0.5 2±0.5 2 0±0 <0.0001 BMI(kg/m2) 25.8±0.6 25.4±0.4 26.8±1.0 26.8±0.1 <0.0001 LN-harvest(n) 16±6 17±6.5 17±8 17±6 NS Op-time(mins) 138.1±5.5 133.2±3.8 112.9±13.4 188.6±2.3 <0.0001 ITU(n) 50 97 4 306 <0.0001 LOS(days) 11±6.5 10 ± 6 5.5±4 7±3.5 <0.0001 Complications (n) Leaks 2 2 0 67 0.0083 Ileus 11 54 2 247 NS HAP 16 41 1 143 0.0082 SSI’s 10 28 3 124 NS Collections 14 17 2 88 <0.0001 Sepsis 18 25 0 77 <0.0001 90-D-Mortality(n) 23 43 1 52 <0.0001 Survival rates(%) 1st-year 60.3 65.9 86.1 90.5 Logrankp < 0.05 5th-year 30.4 31.7 81.5 69.7 10th-year 17.3 23.4 76.8 52.0 15th-year 17.3 13.2 52.3 34.2 Conclusion Emergency-CRC (perforation & obstruction) had worse-pre-operative-functional-limitation (ASA 3), prolonged-hospital-stay, greater-90-day mortality-rate & poorer-survival especially in presence of perforation. Surgery-depends-on-patient-underlying-fitness, presence-of-sepsis & CRC-tumour-location & staging. Our-study-supports prompt-diagnosis & early-surgical-intervention to mitigate-the poor-survival.
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Authors M A Gok, K Riaz, S Khan, M Bughio, R U Aris, U A Khan
Journal the british journal of surgery
Year 2026
DOI
10.1093/bjs/znag087.507
URL
https://doi.org/10.1093/bjs/znag087.507
Keywords Keywords not found

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