Challenge in diagnosis and treatment of colonic carcinoma emergencies

Available online 23 January 2012

Peer review under responsibility of Alexandria University Faculty of Medicine.

Figures & data

Table 1 Preoperative demographic, operative and postoperative data.

	Emergency group (n = 59)	Elective group (n = 59)	Test of significance & Odd's ratio (OR)
Age (mean ± SD)	59.27 ± 8.07	60.58 ± 8.19	t = 0.871
Gender			X^2 = 0.884
Male	38 (64.4%)	33 (55.9%)	p = 0.347
Female	21 (35.6%)	26 (44.1%)
Intraoperative unresectable tumor			X^2 = 2.167
Yes	13 (22%)	7 (11.9%)	p = 0.141
No	46 (78%)	52 (88.1%)	OR = 2.1
Surgical procedures			X^2 = 94.00
Hartmann's operation	19 (32.2%)	0	p = <0.001
Right hemicolectomy	4 (6.8%)	4 (6.8%)
Anterior resection	13 (22%)	49 (83.1%)
Total colectomy	11 (18.6%)	0
Palliative stoma	12 (20.3%)	6 (10.2%)
Postoperative complications			X^2 = 4.692
Yes	15 (25.4%)	6 (10.2%)	p = 0.030
No	44 (74.6%)	53 (89.8%)	OR = 3.01
Mortality			X^2= 1.229
Yes	35 (59.3%)	29 (49.2%)	p = 0.268
No	24 (40.7%)	30 (50.8%)	OR = 1.51
Time of mortality			X^2 = 0.740
<1 year	23 (65.7%)	16 (55.2%)	p = 0.673
Within 2nd year	5 (14.3%)	6 (20.7%)
Within 3rd year	7 (20%)	7 (24.1%)

Figure 1 Kaplan Meier survival curves for emergency and elective groups.

Table 2 Postoperative complications of emergency and elective patients.

	Number of emergency patients (n = 59)	%	Number of elective patients (n = 59)	%	FE p
Wound infection	5	8.5	3	5.1	0.717
Intestinal leakage	3	5.1	2	3.4	1.000
Incisional hernia	3	5.1	1	1.7	0.619
Adhesive intestinal obstruction	2	3.4	–	–	–
Bleeding	2	3.4	–	–	–
Abdominal wall sinus	1	1.7	–	–	–

FE = Fisher exact test.