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[Acute abdomen in patients with hematologic neoplasms]
A Nicolosi1, B Massidda, A Malloci
1Istituto di Chirurgia e Oncologia, Università degli Studi di Cagiari.
Minerva Chirurgica
|January 1, 1990
Summary
Onco-haematological patients with acute abdomen face high mortality. Extended surgery is only recommended for cases with favorable prognoses in this high-risk group.
Area of Science:
- Oncology
- Haematology
- Surgical Gastroenterology
Context:
- Acute abdomen in onco-haematological patients presents unique diagnostic and management challenges.
- This patient cohort includes conditions like neutropenic enterocolitis, gastrointestinal perforation, and neoplastic obstruction.
Purpose:
- To analyze the outcomes of surgical interventions for acute abdominal conditions in onco-haematological patients.
- To evaluate the mortality rates and long-term survival following surgery in this specific patient population.
Summary:
- Sixteen onco-haematological patients with acute abdomen underwent surgical treatment.
- Diagnoses included neutropenic enterocolitis, perforation, obstruction, abscess, and strangulated hernia.
- High operative mortality (31.2%) and 2-24 month post-surgery mortality (62.5%) were observed, with only 6.3% surviving at 72 months.
Impact:
- Findings suggest that extended surgical procedures should be reserved for onco-haematological patients with a favorable prognosis.
- Highlights the critical need for careful case selection and risk assessment in surgical decision-making for these vulnerable patients.