Study of the Prognosis of Emergency Surgery in Patients with a Colorectal Perforation

Abstract

This retrospective study was conducted to examine the prognosis of surgery in patients with colorectal perforations. From January 2006 to August 2013, we encountered 32 cases of colorectal perforation in which an emergency operation was performed. 24 patients survived and 8 patients died during the perioperative periods. Almost all the causes of the perforations were diverticulitis and colorectal cancers. When the perforations occurred as free perforations, they were related to high mortality. The non-survivors were older compared to the survivors, and there were significantly high values found in a univariate analysis with the APACHE II and SOFA scores. In a multivariate analysis, the APACHE Ⅱ score was also selected as an independent predictive factor of the prognosis (OR: 1.679 (1.102-2.558), p=0.016). The pan-peritonitis caused by colorectal perforations is relatively common but life-threatening conditions. To save the patients, a useful evaluation system is required to assess their backgrounds and conditions, like the APACHE II score, and complete multimodality therapies must be performed.