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Emergency Undocking in Robotic Surgery: A Simulation Curriculum
Published on: May 20, 2018
10.5K
Current management of surgical oncologic emergencies
Marianne R F Bosscher1, Barbara L van Leeuwen1, Harald J Hoekstra1
1Department of Surgical Oncology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
Plos One
|May 2, 2015
Summary
Surgical oncologic emergencies often lack multidisciplinary cancer conference (MCC) discussion before intervention. This study highlights the need for structured pathways to ensure timely, personalized cancer care and reduce mortality.
Area of Science:
- Oncology
- Surgical Oncology
- Emergency Medicine
Background:
- Surgical interventions are crucial for certain oncologic emergencies.
- Multidisciplinary cancer conferences (MCCs) are optimal for decision-making but often unavailable in acute settings.
Purpose of the Study:
- To analyze the management and short-term outcomes of patients with surgical oncologic emergencies.
- To evaluate the integration of multidisciplinary cancer conferences (MCCs) in the management of these critical cases.
Main Methods:
- Prospective registration and 30-day follow-up of adult patients with surgical oncologic emergencies.
- Analysis of patient demographics, conditions, surgical interventions, and MCC involvement.
Main Results:
- 207 patients were included; common emergencies included wound infections, malignant obstruction, and disease progression.
- 40% of patients underwent surgery, often before MCC discussion (79% of surgical cases).
- 30-day mortality was 13%, with a median of two medical specialties involved per patient.
Conclusions:
- Surgery for oncologic emergencies frequently occurs without prior MCC discussion.
- There is a critical need for prognostic aids and acute oncology pathways for structured multidisciplinary management.
- Implementing these pathways can expedite appropriate personalized cancer care and prevent unnecessary interventions.
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