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- Publisher Website: 10.1046/j.1365-2168.1998.00903.x
- Scopus: eid_2-s2.0-0031758782
- PMID: 9823920
- WOS: WOS:000076938400019
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Article: Emergency resection and primary anastomosis for left-sided obstructing colorectal carcinoma in the elderly
Title | Emergency resection and primary anastomosis for left-sided obstructing colorectal carcinoma in the elderly |
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Authors | |
Issue Date | 1998 |
Publisher | John 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? |
Abstract | Background: 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 Identifier | http://hdl.handle.net/10722/83571 |
ISSN | 2023 Impact Factor: 8.6 2023 SCImago Journal Rankings: 2.148 |
ISI Accession Number ID | |
References |
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Poon, RTP | en_HK |
dc.contributor.author | Law, WL | en_HK |
dc.contributor.author | Chu, KW | en_HK |
dc.contributor.author | Wong, J | en_HK |
dc.date.accessioned | 2010-09-06T08:42:37Z | - |
dc.date.available | 2010-09-06T08:42:37Z | - |
dc.date.issued | 1998 | en_HK |
dc.identifier.citation | British Journal Of Surgery, 1998, v. 85 n. 11, p. 1539-1542 | en_HK |
dc.identifier.issn | 0007-1323 | en_HK |
dc.identifier.uri | http://hdl.handle.net/10722/83571 | - |
dc.description.abstract | Background: 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.language | eng | en_HK |
dc.publisher | John Wiley & Sons Ltd. The Journal's web site is located at http://www.bjs.co.uk | en_HK |
dc.relation.ispartof | British Journal of Surgery | en_HK |
dc.rights | British Journal of Surgery. Copyright © John Wiley & Sons Ltd. | en_HK |
dc.title | Emergency resection and primary anastomosis for left-sided obstructing colorectal carcinoma in the elderly | en_HK |
dc.type | Article | en_HK |
dc.identifier.openurl | http://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+elderly | en_HK |
dc.identifier.email | Poon, RTP: poontp@hku.hk | en_HK |
dc.identifier.email | Law, WL: lawwl@hkucc.hku.hk | en_HK |
dc.identifier.email | Wong, J: jwong@hkucc.hku.hk | en_HK |
dc.identifier.authority | Poon, RTP=rp00446 | en_HK |
dc.identifier.authority | Law, WL=rp00436 | en_HK |
dc.identifier.authority | Wong, J=rp00322 | en_HK |
dc.description.nature | link_to_subscribed_fulltext | - |
dc.identifier.doi | 10.1046/j.1365-2168.1998.00903.x | en_HK |
dc.identifier.pmid | 9823920 | - |
dc.identifier.scopus | eid_2-s2.0-0031758782 | en_HK |
dc.identifier.hkuros | 39218 | en_HK |
dc.relation.references | http://www.scopus.com/mlt/select.url?eid=2-s2.0-0031758782&selection=ref&src=s&origin=recordpage | en_HK |
dc.identifier.volume | 85 | en_HK |
dc.identifier.issue | 11 | en_HK |
dc.identifier.spage | 1539 | en_HK |
dc.identifier.epage | 1542 | en_HK |
dc.identifier.isi | WOS:000076938400019 | - |
dc.publisher.place | United Kingdom | en_HK |
dc.identifier.scopusauthorid | Poon, RTP=7103097223 | en_HK |
dc.identifier.scopusauthorid | Law, WL=7103147867 | en_HK |
dc.identifier.scopusauthorid | Chu, KW=7402453653 | en_HK |
dc.identifier.scopusauthorid | Wong, J=8049324500 | en_HK |
dc.identifier.issnl | 0007-1323 | - |