ArticleAnnals of gastroenterological surgery2020
Emergency surgery for gastrointestinal cancer: A nationwide study in Japan based on the National Clinical Database.
Article in Annals of gastroenterological surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 22 citations in OpenAlex.
- Gastric Cancer Surgery in an Emergency Setting: Insights from a Western Multicenter Cohort.Journal of clinical medicine · 2026Article
- The Influence of Surgeons' Gender on Surgical Outcomes in Laparoscopic Right Hemicolectomy: A Japanese Nationwide Retrospective Cohort Study.Annals of gastroenterological surgery · 2026Article
- Socioeconomic disparities in colorectal cancer oncologic emergencies: a nationwide multilevel analysis in Japan.International journal of clinical oncology · 2025Article
- Successful management by laparoscopic total gastrectomy following embolization for gastric cancer with overt bleeding: two case reports.Journal of surgical case reports · 2025Article
- Trauma patients with metastatic cancer undergoing emergent surgery: A matched cohort analysis.Surgery open science · 2024Article
- Effects of the COVID-19 pandemic on short-term postoperative outcomes for colorectal perforation: A nationwide study in Japan based on the National Clinical Database.Annals of gastroenterological surgery · 2024Article
- Emergency surgical consultation for cancer patients: identifying the prognostic determinants of health.World journal of surgical oncology · 2022Article
- Laparoscopic Surgery for Acute Diffuse Peritonitis Due to Gastrointestinal Perforation: A Nationwide Epidemiologic Study Using the National Clinical Database.Annals of gastroenterological surgery · 2022Article
- Surgical outcomes in gastroenterological surgery in Japan: Report of the National Clinical Database 2011-2019.Annals of gastroenterological surgery · 2021Article
- Antithrombotic drugs have a minimal effect on intraoperative blood loss during emergency surgery for generalized peritonitis: a nationwide retrospective cohort study in Japan.World journal of emergency surgery : WJES · 2021Observational
- Emergency surgery for gastrointestinal cancer: A nationwide study in Japan based on the National Clinical Database.Annals of gastroenterological surgery · 2020Article
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Authors and funding
12 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEmergency gastrointestinal surgery, although rare, is known for its high mortality and morbidity. However, the risks of emergency surgery for gastrointestinal cancer have not been investigated in depth. This study aimed to investigate the impact of emergency surgery on mortality and morbidity in patients with gastrointestinal cancers and to identify associated risk factors.
methodsWe extracted data from the National Clinical Database, a nationwide surgery registration system in Japan, for patients with gastrointestinal cancer who underwent esophageal resection, total gastrectomy, distal gastrectomy, right hemicolectomy, or low anterior resection between 2012 and 2017. The impacts of emergency surgery on 30-day mortality and incidence of overall postoperative complications were compared with those of non-emergency surgery. Risk factors for mortality and overall postoperative complications were then sought in patients who underwent emergency surgery.
resultsThirty-day mortality and incidence of overall postoperative complications were significantly higher in emergency surgeries for gastric, colon, and rectal cancers than in non-emergency surgeries (odds ratios 4.86-6.98 and 1.68-2.18, respectively; all
conclusionThe actual risk of emergency surgery and the risk factors for overall postoperative complications in emergency cases are shown to serve as a reference for postoperative management. Emergency surgery had an additional burden on patients depending on the type of surgery.
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