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PTH-301 Emergency versus elective malignant colorectal resections: a single centre experience
  1. M Gok,
  2. KI Malik,
  3. A Jeff,
  4. UA Khan
  1. Department of Surgery, Macclesfield District General Hospital, Macclesfield, UK

Abstract

Introduction Colorectal Cancer (CRC) is the 3rdmost common and 2ndmost lethal malignancy in men and women in the UK. CRC presents as a surgical emergency in <30% of cases; obstruction, perforation, abdominal pain, haemorrhage or sepsis. Emergency CRC has been associated with high post-operative morbidity and mortality. The aim of the study is to assess emergency CRC resections at a single centre.

Method This is a retrospective study carried out since January 2008 at Macclesfield District General Hospital. Patient factors, histopathology and surgical outcomes were evaluated for all emergency malignant colorectal resections. A cohort of elective malignant colorectal resections carried out since 2008 were recruited as controls.

Results See Table 1

Conclusion Colorectal malignancy is more predominant in males, however emergency presentation was less predictable. Prolonged operative time in elective cases is attributed to use of laparoscopy. Emergency colorectal patients were generally ill patients (ASA 3) with sepsis. The greater LB specimen reflects more diseased (less viable LB due to obstruction) LB resection in the emergency cases. Consequently the survival was poorer in emergency colorectal resections. This study supports the bowel screening initiatives to detect early colorectal cancers.

Disclosure of interest None Declared.

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