Sorry, I don't understand your search. ×
Back to Search Start Over

Emergency surgery for gastrointestinal cancer: A nationwide study in Japan based on the National Clinical Database

Authors :
Nobuaki Hoshino
Hideki Endo
Koya Hida
Nao Ichihara
Yoshimitsu Takahashi
Hiroshi Hasegawa
Toshimoto Kimura
Yuko Kitagawa
Yoshihiro Kakeji
Hiroaki Miyata
Takeo Nakayama
Yoshiharu Sakai
Source :
Annals of Gastroenterological Surgery, Vol 4, Iss 5, Pp 549-561 (2020)
Publication Year :
2020
Publisher :
Wiley, 2020.

Abstract

Abstract Background Emergency gastrointestinal surgery, although rare, is known for its high mortality and morbidity. However, the risks of emergency surgery for gastrointestinal cancer have not been investigated in depth. This study aimed to investigate the impact of emergency surgery on mortality and morbidity in patients with gastrointestinal cancers and to identify associated risk factors. Methods We extracted data from the National Clinical Database, a nationwide surgery registration system in Japan, for patients with gastrointestinal cancer who underwent esophageal resection, total gastrectomy, distal gastrectomy, right hemicolectomy, or low anterior resection between 2012 and 2017. The impacts of emergency surgery on 30‐day mortality and incidence of overall postoperative complications were compared with those of non‐emergency surgery. Risk factors for mortality and overall postoperative complications were then sought in patients who underwent emergency surgery. Results Thirty‐day mortality and incidence of overall postoperative complications were significantly higher in emergency surgeries for gastric, colon, and rectal cancers than in non‐emergency surgeries (odds ratios 4.86‐6.98 and 1.68‐2.18, respectively; all P

Details

Language :
English
ISSN :
24750328
Volume :
4
Issue :
5
Database :
Directory of Open Access Journals
Journal :
Annals of Gastroenterological Surgery
Publication Type :
Academic Journal
Accession number :
edsdoj.fe3605a8965d498f8d17c986880f0cdd
Document Type :
article
Full Text :
https://doi.org/10.1002/ags3.12353