| Title: |
Implementation of pre- and post-COVID pandemic outcomes of colon cancer patients undergoing colectomies |
| Authors: |
Altinel,Yuksel; Aktimur,Yunus Emre; Ozdogan,Kamil; Meric,Serhat; Yigitbas,Hakan |
| Source: |
Cirugía y cirujanos v.94 n.1 2026 |
| Publisher Information: |
Academia Mexicana de Cirugía A.C. |
| Publication Year: |
2026 |
| Subject Terms: |
Colon cancer; Colectomy; Morbidity; Frailty index |
| Description: |
Objective: Colectomy is a standard surgical technique for colon cancer, but the prognostic indexes are limited. We aimed to evaluate clinicopathology of colectomies under emergency and elective conditions due to colon cancer, and correlate prognostic indexes with these outcomes collected before and during COVID-19 pandemic. Method: Clinicopathological and laboratory findings of 250 patients underwent colectomies under elective and emergency conditions for left and right colon cancer between 2017 and 2021 were retrospectively analyzed. Prognostic markers, including Clavien-Dindo Classification (CDC), Frailty index (FI), hemoglobin, albumin, lymphocyte, and platelet (HALP) score, and Charlson Comorbidity Index (CCI) were used. Results: CDC Grade 2 was the most common grade in both periods for all patients (p = 0.014) and for elective cases (p = 0.006), but not FI and HALP scores. Frequency of perineural invasion was significantly higher during COVID-19 among elective cases (19.8% vs. 40.6%; p = 0.032). Increase in CDC (OR: 0.123; 95%CI: 0.331-1.393; p = 0.007) and in CCI (OR: 0.067; 95% CI: 0.147-1.158; p = 0.028) primarily affected mortality rate during pandemic. Conclusions: Our analyses revealed short-term influences of COVID-19 pandemic on patients’ surgical care of the colon cancer patients. The operative management of comorbidities, CDC for complications, and CCI for comorbidities might be helpful tools to identify post-operative mortality of colectomies. |
| Document Type: |
article in journal/newspaper |
| File Description: |
text/html |
| Language: |
English |
| Availability: |
http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S2444-054X2026000100011 |
| Rights: |
info:eu-repo/semantics/openAccess |
| Accession Number: |
edsbas.5EA84B10 |
| Database: |
BASE |