Abdominal emergencies in surgical oncology

Česká verze

Authors: R. Šefr ^1,2; O. Zapletal ^1,2; P. Krsička ^1,2; I. Novotný ³; M. Pacal ⁴; L. Němec ¹; V. Jedlička ^1,2
Authors place of work: Klinika operační onkologie, Masarykův onkologický ústav, Brno ¹; Klinika operační onkologie, Lékařská fakulta Masarykovy univerzity, Brno ²; Gastroenterologické oddělení, Masarykův onkologický ústav, Brno ³; Radiodiagnostické oddělení, Masarykův onkologický ústav, Brno ⁴
Published in the journal: Rozhl. Chir., 2023, roč. 102, č. 2, s. 60-63.
Category: Původní práce
doi: https://doi.org/10.33699/PIS.2023.102.2.60–63

Summary

Introduction: In general, abdominal emergencies are urgent situations that require a prompt and correct diagnosis and treatment. They involve a broad spectrum of diagnoses and can occur in all age groups. The situation is often modified in oncologic patients according to the extent and level of progression of the primary oncological disease.

Methods: A retrospective study was conducted to analyze the group of adult patients with abdominal emergencies treated in Masaryk Memorial Cancer Institute between 2011−2017.

Results: In total, 601 patients underwent emergency surgery during the 7-year period. The causes included gastrointestinal obstruction (43%), intra-abdominal inflammatory complications (33%) and bleeding (17%). Acute appendicitis or cholecystitis was the cause in only less than 4% of all patients.

Conclusion: The problems of acute abdominal emergencies in oncologic patients are substantially different from those in the general population, particularly in terms of the causes where gastrointestinal obstruction is the leading cause.

Keywords:

surgery – oncology – intestinal obstruction – abdominal emergency

Zdroje

1. Niederle B, Šebek V. Operace náhlých příhod břišních. Praha, Státní zdravotnické nakladatelství 1962.

2. Tošovský V. Náhlé příhody břišní u dětí. Praha, Avicenum 1981.

3. Valdespino-Gómez VM, López-Garza JR, González-Alemán JC, et al. Emergencies and urgent medical-surgical conditions attended at a comprehensive cancer center. Cir Cir. 2006;74:359−68.

4. Bosscher MR, van Leeuwen BL, Hoekstra HJ. Current management of surgical oncologic emergencies. Plos One 2015. doi:101371/journal.pone.0124641.

5. Díaz-Couselo FA, O‘Connor JM, Nervo A, et al. Non-scheduled consultation in oncologic patients. How many of them are true emergencies? An observational prospective study. Support Care Cancer 2004;12:274−277.

6. Huťan M, Huťan M Jr., Zelenák J. Úloha klasickej chirurgie pri liečbe náhlych príhod brušných u onkologických pacientov. Rozhl Chir. 2009;7:377−380.

7. Porta M, Fernandez E, Belloc J, et al. Emergency admission for cancer: a matter of survival? Br J Cancer 1998;77:477−484.

8. Bosscher MR, van Leeuwen BL, Hoekstra HJ. Surgical emergencies in oncology. Cancer Treat Rev. 2014 Sep;40(8):1028−1036. doi: 10.1016/j. ctrv.2014.05.005. Epub 2014 May 22.

9. Dumont F, Goéré D, Honoré C, et al. Abdominal surgical emergencies in patients with advanced cancer. J Visc Surg. 2015 Dec;152(6 Suppl):S91−96. doi: 10.1016/j. jviscsurg.2015.09.014. Epub 2015 Nov 6.

10. Al Bahlooli SH, Shaban M. Pattern of intestinal obstruction amongst Yemeni patients. Available at: http://www.kzcr.eu/ konference/Data/book-of-abstracts-icscongress- 2015-for-mail-10_8_.pdf.