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[Complicated colon cancer: the experience at an Operative Surgery Unit].
E Mascitelli1, M L Vene, A Tauro
1Divisione Clinicizzata di Chirurgia Generale, Dipartimento di Scienze Chirurgiche Sperimentali e Cliniche, Università degli Studi G. d'Annunzio di Chieti.
Annali Italiani Di Chirurgia
|December 18, 2003
Summary
Emergency colon cancer surgery has higher mortality and morbidity. Complicated cases require careful surgical planning to improve outcomes and reduce recurrence rates.
Area of Science:
- Oncology
- Surgical Gastroenterology
Context:
- Colon cancer prognosis is significantly worse when complications are present at diagnosis.
- Emergency surgical interventions for complicated colon cancer carry a high mortality rate, necessitating careful consideration of operative strategies.
Purpose:
- To analyze surgical outcomes in patients with complicated colon cancer presenting as emergencies.
- To evaluate the impact of emergency surgery on mortality, morbidity, and long-term survival in colon cancer patients.
Summary:
- This retrospective analysis of 107 colon cancer patients over 9 years included 27 with complications (obstruction, perforation, hemorrhage). Various surgical procedures were employed.
- Intraoperative mortality was 11.1% and morbidity 18.5%. Five-year survival was 62.1% for complicated cases, with an 8.45% recurrence rate. These figures did not reach statistical significance.
Impact:
- Emergency treatment for colon cancer compromises optimal oncologic surgical principles, potentially leading to poorer outcomes.
- Higher mortality, morbidity, and worse oncologic results (metastasis, recurrence) are observed in emergency settings compared to elective surgeries due to challenges in achieving radical resection.