RESULTS OF EMERGENCY RESECTIONS PERFORMED RELATIVELY COMPLICATED COLORECTAL CANCER IN PATIENTS OF OLDER AGE GROUPS
AIM: to assess the effect of age comorbidity on the early and late results of urgent surgery in patients with complicated colorectal cancer. PATIENTS AND METHODS: the study included 1098 patients, which underwent urgent surgery in Smolenskhospitals in 2001-2013 for complicated colorectal cancer. They were divided into 2 groups depending on age: the first group - aged 70 years. RESULTS: the average age in the first group was 58.2 (18-70) years and 75.8(70-93) years in the second group. Complications IIIb-V by Clavien-Dindo scale were significaтntly higher in the 2ndgroup (p<0.0001). R0 resections were performed in 86.6% in first group and 79.4% - in second one (p<0.0001). The 5-year overall survival was significantly better for the first group (34.5% vs 15.2%, p = 0.00001). Disease-free survival had no difference between groups 1 and 2 in specialized hospitals (31.8% vs 29.1%, p=0.07). CONCLUSION: R0 resections in specialized hospitals for older patients with complicated colorectal cancer provide better survival