The aim of this observational study is to determine effect of stent placement on survival results in first three years in a patient who applied to the emergency department with obstruction due to colorectal cancer. Eligible patients divided into two groups. Group A includes patients underwent emergency surgery directly. Patients underwent elective surgery following stent placement as bridge-to-surgery. Patients underwent elective surgery following bridge-to-surgery stent placement were accepted as Group B.
Patients who applied to emergency department of a single tertiary referral center between January 2016 and December 2020 and diagnosed as left sided obstructive colorectal cancer were included in this retrospective study. All patients were equal or older than 18 years and histopathologically found to have primary colorectal malignant neoplasms. Patients were excluded from the analysis if they met any of the following criteria: * Who underwent emergency surgery due to unsuccessful stent application intervention or stent-related complications developed, * Those with middle and lower rectum tumors or received neoadjuvant treatment, * Perforation, * Who underwent subtotal or total colectomy (as a result of colon ischemia in the cecum, microperforation, etc.), * Recurrent disease patients * Patients have metastasis
Study Type
OBSERVATIONAL
Enrollment
65
Overall Survival
The survival time of patient after being diagnosed as colorectal cancer after coming to emergency department
Time frame: 3 years
Disease Free Survival
The local or systemic recurrence free time period of patient after being diagnosed as colorectal cancer after coming to emergency department
Time frame: 3 years
Mortality
Death of patient in postoperative first three months
Time frame: 90 days
Serious complications
Postoperative complications of patients that have a Clavien-Dindo Score greater than or equal to 3
Time frame: 90 days
Minimally invasive surgery
Patients that found a chance for fully minimally invasive surgery for resection of colorectal cancer
Time frame: 90 days
End colostomy rate
Patients that have a end colostomy at the end of surgical resection of colorectal cancer
Time frame: 90 days
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