Forskning
Udskriv Udskriv
Switch language
Region Hovedstaden - en del af Københavns Universitetshospital
Udgivet

Intraoperative Tumor Perforation is Associated with Decreased 5-Year Survival in Colon Cancer: A Nationwide Database Study

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

DOI

  1. Type V Collagen is Persistently Altered after Inguinal Hernia Repair

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. The Implementation Gap in Laparoscopic Simulation Training

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  1. Agreement between the Danish Cancer Registry and the Danish Colorectal Cancer Group Database

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. 5-year outcome after complete mesocolic excision for right-sided colon cancer: a population-based cohort study

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Time trends of short-term mortality for octogenarians undergoing a colorectal resection in North Europe

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  4. Posture changes platelet inhibition time after ingestion of prasugrel

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Vis graf over relationer

BACKGROUND: It is a widely held belief that intraoperative tumor perforation in colon cancer impairs survival and causes local recurrence, although the prognostic importance remains unclear.

AIM: The aim of this study was to assess the effect of unintended intraoperative tumor perforation on postoperative mortality and long-term survival.

MATERIAL AND METHODS: This national cohort study was based on data from a prospectively maintained nationwide colorectal cancer database. We included 16,517 colon cancer patients who were resected with curative intent from 2001 to 2012.

RESULTS: Intraoperative tumor perforation produced a significantly impaired 5-year survival of 40% compared to 64% in non-perforated colon cancer. Intraoperative tumor perforation was an independent risk factor for death, hazard ratio 1.63 (95% confidence interval: 1.4-1.94), with a significantly increased 90-day postoperative mortality of 17% compared to 7% in non-perforated tumors, p < 0.001. We showed that tumor fixation, emergency operations, and laparotomies were associated with an increased risk of intraoperative tumor perforation.

CONCLUSION: This nationwide study demonstrates that intraoperative tumor perforation in colon cancer is associated with statistically significant reduced long-term survival and increased postoperative mortality.

OriginalsprogEngelsk
TidsskriftScandinavian journal of surgery : SJS : official organ for the Finnish Surgical Society and the Scandinavian Surgical Society
Vol/bind106
Udgave nummer3
Sider (fra-til)202-210
Antal sider9
DOI
StatusUdgivet - sep. 2017

ID: 52665860