Emergency Presentations of Colorectal Cancer

Baer, Canaan; Menon, Raman; Bastawrous, Sarah; Bastawrous, Amir L.

doi:10.1016/j.suc.2017.01.004

Cited by 106 publications

(73 citation statements)

References 58 publications

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“…Also 5-year disease free survival was found significantly lower in emergent group than elective group (P < 0.001) (25,30). In our study 2-year disease free survival is also similar with these previous reports.…”

Section: Discussionsupporting

confidence: 92%

The results of emergent curative surgery for the colorectal cancer; a single center experience of 52 patients

Öter¹,

Yalçın²,

Oter³

2018

J Turgut Ozal Med Cent

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Aim: Even though, protective methods and early diagnostic modalities are used in current practice, almost 6 to 30% of colorectal cancer patients admit to hospital for emergency operation with late complications. The aim of this study is to interpreting data of the early postoperative oncologic outcomes of the emergent curative CRC surgeries. Material and Methods: Between January 2012 and January 2017, 173 patients were operated curatively for colorectal cancer at Mehmet Akif İnan Training and Research Hospital of Health Sciences University. Of these, 52 patients were treated with emergent curative colorectal surgery. Demographics, laboratory, and clinical data, diagnostic studies, surgical procedures, operative findings, histopathologic results, postoperative complications, and patient follow-up were retrospectively analyzed. Results: The mean age (59.6 ± 10.9 vs. 57.7 ± 11.5, P = 0.98) and gender (71.15 vs. 76.03% male, P = 0.18) were close in emergent and elective colorectal cancer surgery groups. Early postoperative mortality was seen in 6 (11.5%) of those patients. The mean postoperative hospital stay in emergent surgery group was significantly longer than in elective surgery group. The 2-years overall survival rate of emergent and elective group were estimated 33 versus 77%, respectively. Conclusion: Our findings reveal that emergency CRC surgery predicts more advanced disease and longer operation time. Also in the emergent group have a higher complication rates, longer hospital stay, increased early postoperative morbidity, and lower long term survival in even all same stages.

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Section: Discussionsupporting

confidence: 92%

The results of emergent curative surgery for the colorectal cancer; a single center experience of 52 patients

Öter¹,

Yalçın²,

Oter³

2018

J Turgut Ozal Med Cent

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“…Depending on the location, it may progress to either free or contained perforation. Contained perforation presents as localised tenderness and is more common than free perforation in descending and sigmoid colon lesions 1. In the present case, there was a localised perforation in form of a small abscess with inflammation in the overlying skin.…”

Section: Discussionmentioning

confidence: 45%

“…The clinical presentation has been recognised as an independent prognostic factor for morbidity and mortality 1 . We present a rare case of localised perforation of a locally advanced colon cancer arising from mid-transverse colon in an elderly woman in the absence of widely metastatic disease with eventual cutaneous involvement of the overlying skin by direct extension, resulting in formation of colocutaneous fistula.…”

mentioning

confidence: 97%

Localised perforation of locally advanced transverse colon cancer with spontaneous colocutaneous fistula formation: a clinical challenge

Wadhwani¹,

Diwakar

2018

BMJ Case Reports

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Colon cancer can present with complications such as obstruction, perforation and bleeding. The clinical presentation has been recognised as an independent prognostic factor for morbidity and mortality. We present a rare case of localised perforation of a locally advanced colon cancer arising from mid-transverse colon in an elderly woman in the absence of widely metastatic disease with eventual cutaneous involvement of the overlying skin by direct extension, resulting in formation of colocutaneous fistula. The management of such cases is complex as usually tailored to the situation encountered. This case was a clinical challenge to choose between initial palliative resection and curative R0 resection following neoadjuvant chemotherapy.

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“…(3) La cirugía urgente debe realizarse respetando los principios oncológicos aunque no se disponga de un diagnostico de certeza prequirúrgico, y la intención debe ser curativa si no hay evidencia de enfermedad a distancia. (1) La Tomografía Computarizada (TC) es la prueba radiológica de elección para localizar la lesión y la morfología de la obstrucción. Puede asociarse enema con contraste hidrosoluble, aunque no es estrictamente necesario.…”

Section: Introductionunclassified

Abordaje Terapéutico de la Obstrucción Maligna de Colon. Actualización en las Indicaciones de Endoprótesis

Cárdenas¹

2018

Arch. coloproctol.

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A pesar de los esfuerzos para el diagnóstico precoz del cáncer de colon con los programas de screening, más del 33% de los paciente con carcinoma colorectal debutan con síntomas que van a requerir de una intervención quirúrgica urgente tanto por perforación, obstrucción o hemorragia. Las tasas de morbilidad, mortalidad y la necesidad e estoma son mayores en los casos con intervención urgente en comparación con la cirugía electiva. Todo esto influye no sólo en la cirugía urgente, sino en las condiciones de los pacientes intervenidos, frecuentemente en contexto de deshidratación, desnutrición, descompensación hidroelectrolitica y de comorbilidades asociadas, con tumores con un comportamiento biológico más agresivo y mayor frecuencia de metástasis hepáticas. Además, el estudio de extensión es incompleto en estas situaciones, pudiendo condicionar el abordaje oncológico posterior. Teniendo en cuenta que deben respetarse los principios de resección oncológica para el carcinoma colorectal (márgenes distal, proximal y radial así como una linfadenctomia de al menos 12 ganglios) incluso en cirugía urgente, la Guía Americana de la Sociedad de Cirujanos colorectales define los siguientes objetivos para el tratamiento urgente de esta patología: evitar el impacto negativo inmediato de la complicación, conseguir el mejor control del tumor y asegurar que el tiempo de recuperación permita el inicio del tratamiento adyuvante más adecuado.

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Emergency Presentations of Colorectal Cancer

Cited by 106 publications

References 58 publications

The results of emergent curative surgery for the colorectal cancer; a single center experience of 52 patients

The results of emergent curative surgery for the colorectal cancer; a single center experience of 52 patients

Localised perforation of locally advanced transverse colon cancer with spontaneous colocutaneous fistula formation: a clinical challenge

Abordaje Terapéutico de la Obstrucción Maligna de Colon. Actualización en las Indicaciones de Endoprótesis

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