Oncologic colon cancer resection in emergency: Are we doing enough?

Lymph node yield following colorectal cancer surgery

“…An unexpected finding was the higher LNY in emergency surgery versus elective surgery cases, which is in contrast with recent data from the United Kingdom 17 . However, consistent with our study, a recent Italian series also reported that lymph node retrieval was higher in emergency surgery 34 . Multiple factors not related to the urgency of the surgery could have produced this difference, such as our finding of a lower incidence of emergency surgery in patients with rectal cancer (49.8% of those having elective surgery had rectal cancer versus 15.3% of those having emergency surgery).…”

Management of bleeding GI tumors

“…71,72 Patients undergoing emergent surgery generally have more advanced disease, longer hospital stays, and higher perioperative mortality than patients undergoing an elective operation. 69,70,73 Resection of rectal cancer is sometimes performed for palliation. Symptoms of bleeding and obstruction are the most common indications.…”

Colorectal cancer with intestinal perforation – a retrospective analysis of treatment outcomes

“…However, in other recently published studies, it was shown that the stage of cancer advancement had an influence on the type of procedure. Patients with stage IV cancer more frequently underwent urgent operation, which was statistically significant [20–23]. …”

“…performed a retrospective analysis of 499 patients who underwent the operation, and concluded that 85 (17%) patients were operated upon because of intestinal ileus and 30 (6%) patients because of intestinal perforation [20]. In the observed group of 1378 patients, the number of patients who underwent urgent surgery was much lower (16.62%).…”