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Erratum: Resection of Obstructive Left-Sided Colon Cancer at a National Level: A Prospective Analysis of Short-Term Outcomes in 1,816 Patients

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DataCite Commons2020-09-01 更新2024-07-25 收录
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https://karger.figshare.com/articles/dataset/Erratum_Resection_of_Obstructive_Left-Sided_Colon_Cancer_at_a_National_Level_A_Prospective_Analysis_of_Short-Term_Outcomes_in_1_816_Patients/5241820
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<b><i>Background/Aims:</i></b> The prematurely closed Stent-In II trial in patients with left-sided obstructive colon cancer may have influenced clinical decision making in The Netherlands. The aim of this study was to evaluate treatment of left-sided malignant colon obstruction at a population level since then. <b><i>Methods:</i></b> Short-term outcomes of all patients who underwent resection for left-sided obstructive colon cancer between 2009 and 2012 were assessed based on a prospective national registry. <b><i>Results:</i></b> In total, 1,816 evaluable patients were included; acute resection was performed in 1,485 (81.8%), and endoscopic stent or decompressing stoma followed by resection in 196 (10.8%) and 135 (7.4%), respectively. The use of endoscopic stenting significantly decreased from 18% (2009) to 6% (2012). Overall 30-day or in-hospital mortality rate was 6.9, 5.6, and 3.7%, respectively (p = 0.107). Mortality rate after acute resection was 2.9% in patients &gt;70 years, but mortality rates up to 32.2% were observed in high-risk elderly patients. <b><i>Conclusion:</i></b> Acute resection as first choice treatment seems justified for patients &gt;70 years of age given a mortality rate of 3%. For the elderly frail patients, mortality rates over 30% after acute resection stress the need for alternative treatment strategies.
提供机构:
Karger Publishers
创建时间:
2017-07-25
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