Emergency right hemicolectomy in colon carcinoma: A prospective study

Smithers, B. Mark, Theile, David E., Cohen, Jon R., Evans, Elizabeth B. and Davis, Neville C. (1986) Emergency right hemicolectomy in colon carcinoma: A prospective study. Australian and New Zealand Journal of Surgery, 56 10: 749-752. doi:10.1111/j.1445-2197.1986.tb02320.x

Author Smithers, B. Mark
Theile, David E.
Cohen, Jon R.
Evans, Elizabeth B.
Davis, Neville C.
Title Emergency right hemicolectomy in colon carcinoma: A prospective study
Journal name Australian and New Zealand Journal of Surgery   Check publisher's open access policy
ISSN 0004-8682
Publication date 1986-10-01
Year available 1986
Sub-type Article (original research)
DOI 10.1111/j.1445-2197.1986.tb02320.x
Open Access Status
Volume 56
Issue 10
Start page 749
End page 752
Total pages 4
Place of publication Richmond, Vic., Australia
Publisher Wiley-Blackwell Publishing
Language eng
Abstract The morbidity and mortality in right hemicolectomy for carcinoma of the colon is examined, with particular attention to the influence of emergency surgery and advanced disease. Of the 244 patients who had surgery, 57 required emergency surgery and 187 elective surgery. The overall mortality was 5.7% with no difference statistically between the elective and emergency groups. Anastomotic complications were significantly greater in the groups undergoing emergency resection and elective palliative surgery when compared with elective curative surgery. All patients with advanced disease had a higher morbidity and mortality, both in elective and emergency surgery. The factors most important in relation to mortality and morbidity were thus advanced disease, advanced age and cardiorespiratory complications. This being the case, it is felt that the present management of emergency right hemicolectomy with anastomosis should continue to be the treatment of choice for obstructing or perforated carcinomas of the right colon.
Keyword Adenocarcinoma of right colon
Right hemicolectomy
Acute obstruction
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
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Citation counts: TR Web of Science Citation Count  Cited 17 times in Thomson Reuters Web of Science Article | Citations
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Created: Mon, 18 Oct 2010, 19:19:06 EST