title: [Analysis of postoperative complications following acute surgery for colorectal cancer].
abstract: Our aim was to improve the outcome of emergency surgeries for colorectal cancer (CRC). Authors compared two periods: 2004-2006 and 2007-2011. Targeted cases were emergency admissions, in which the diagnosis of colorectal cancer is only revealed during work-up or during surgery. No other exclusion criteria were set. Analyzed main endpoints were anastomotic leak, postoperative mortality, resecability. ASA classification and TNM stages were assessed in order to learn morbidity and general condition prior to acute surgery. Considering the experience gained in prior period, in 2007, authors have made a change in treatment strategy. In following years leakage ratio became ten times lower and mortality was reduced by 5%. There is a great chance that fast work-up and preparation for surgery may decrease complications and mortality. The aim would be for CRC patients, is to reach surgery in an early stage of disease as possible, at least before complications develop.
authors.affiliation: Jahn Ferenc Dél-pesti Kórház Sebészeti Osztály 1204 Budapest Köves út 1.
authors.forename: Dániel
authors.initials: D
authors.lastname: Kári
authors.affiliation: Semmelweis Egyetem Általános Orvostudományi Kar Budapest.
authors.forename: Diána
authors.initials: D
authors.lastname: Korsós
authors.affiliation: Jahn Ferenc Dél-pesti Kórház Sebészeti Osztály 1204 Budapest Köves út 1.
authors.forename: Bence
authors.initials: B
authors.lastname: Kecskédi
authors.affiliation: Jahn Ferenc Dél-pesti Kórház Sebészeti Osztály 1204 Budapest Köves út 1.
authors.forename: Zoltán
authors.initials: Z
authors.lastname: Lovay
authors.affiliation: Jahn Ferenc Dél-pesti Kórház Sebészeti Osztály 1204 Budapest Köves út 1.
authors.forename: Gábor
authors.initials: G
authors.lastname: Ecsedy
authors.affiliation: Jahn Ferenc Dél-pesti Kórház Sebészeti Osztály 1204 Budapest Köves út 1.
authors.forename: Péter
authors.initials: P
authors.lastname: Lontai
authors.affiliation: Egyesített Szent István és Szent László Kórház Sebészeti Osztály Budapest.
authors.forename: Ferenc
authors.initials: F
authors.lastname: Ender
authors.affiliation: Magyar Honvédség Egészségügyi Központ I. Sz. Sebészeti Osztály Budapest.
authors.forename: Attila
authors.initials: A
authors.lastname: Vörös
mesh_terms: D057868:Anastomotic Leak / Q000175:diagnosis / Q000453:epidemiology* / Q000209:etiology*; D015179:Colorectal Neoplasms / Q000401:mortality* / Q000473:pathology / Q000601:surgery*; D015897:Comorbidity; D013505:Digestive System Surgical Procedures / Q000009:adverse effects* / Q000379:methods* / Q000401:mortality; D005060:Europe / Q000453:epidemiology; D006801:Humans; D006814:Hungary / Q000453:epidemiology; D009367:Neoplasm Staging; D012720:Severity of Illness Index; D013529:Surgical Wound Dehiscence / Q000175:diagnosis / Q000453:epidemiology* / Q000209:etiology*; D014481:United States / Q000453:epidemiology
keywords: acut műtét; colorectal cancer; complications; emergencies; kezelés; surgery; szövődmény; treatment; vastagbéldaganat