Colorectal Carcinoma as a Cause of Acute Abdominal Illness
Authors:
L. Lipská; V. Visokai; P. Bergmann; M. Trubač; P. Čech; L. Štrupová; M. Levý
Authors‘ workplace:
Chirurgická klinika 1. lékařské fakulty UK a Fakultní Thomayerovy nemocnice, Praha, přednosta: doc. MUDr. V. Visokai, Ph. D.
Published in:
Rozhl. Chir., 2008, roč. 87, č. 1, s. 10-15.
Category:
Monothematic special - Original
Overview
Colorectal carcinoma (KCR) is the commonest malignancy in male patients and the second commonest in female patients in the Czech Republic. During 1990-2006, 1162 patients with colorectal carcinomas were operated in the FTNsP (Faculty Thomayer Hospital) Surgical Clinic. 212 patients aged between 39 to 94 y.o.a.(the median of 70 y.o.a) were managed urgently for acute abdominal illness. In this group of urgently managed patients, the mortality rate was 17% and the morbidity rate was 38%. Future prospects of any colorectal carcinoma patient with acute abdominal illness depend on the procedure’s radicality, which is limited by the overall patient’s condition. The preoperative care aims to improve the patient’s overall condition to such a degree, to allow for surgery fulfilling principles of oncosurgical radicality. According to this report’s data, such urgent surgical procedures do not result in increased mortality or morbidity rates, compared to these in planned procedures, and show the best results in this patient group.
Key words:
acute abdominal illness – colorectal carcinoma – acute resection – multivariational analysis
Sources
1. McIntyre, R., Reinbach, D., Cuschieri, R. J. Emergency abdominal surgery in the elderly. J. R. Coll. Surg. Edinb., 1997, 42 (3), s. 173–178.
2. Sobin, L. H., Wittekind, C. H. TNM klasifikace zhoubných nádorů. 6. vyd., 2002 (český překlad), Praha Ústav zdravotnických informací a statistiky České republiky, 2004.
3. Ohman, U. Prognosis in patients with obstructing colorectal carcinoma. Am. J. Surg., 1982, 143, s. 742–747.
4. Mandava, N., Kumar, S., Pizzi, W. F., Aprile, I. J. Perforated colorectal carcinomas. Am. J. Surg., 1996, 172, s. 236–238.
5. Repse, S., Calic, M., Zakelj, B., Stor, Z., Juvan, R., Jelene, F. Emergency colorectal surgery: Our results and complications. Ann. Ital. Chir., 1996, 67, s. 205–209.
6. Myrvold, H. E. Colorectal cancer emergencies. Chir. Ital., 1994, 46 (5), s. 28–32.
7. Saliangas, K., Economou, A., Nikoloudis, N., Andreadis, E., Prodromou, K., Chrissidou, M., Topsis, D., Chrissidis, T. Treatment of complicated colorectal cancer. Evaluation of the outcome. Tech. Coloproctol., 2004, 8 (1), s. 199–201.
8. McArdle, C. S., Hole, D. J. Emergency presentation of colorectal cancer is associated with poor 5-year survival. Br. J. Surg., 2004, 91 (5), s. 605–609.
9. Alvarez, J. A., Baldonedo, R. F., Bear, I. G., Truan, N., Pire, G., Alvarez, P. Presentation, treatment, and multivariate analysis of risk factors for obstructive and perforative colorectal carcinoma. Am. J. Surg., 2005, 190 (3), s. 376–382.
10. Cuffy, M., Abir, F., Audisio, R. A., Longo, W. E. Colorectal cancer presenting as surgical emergencies. Surg. Oncol., 2004, 13 (2–3), s. 149–157.
11. Baccari, P., Bisagni, P., Crippa, S., Sampietro, R., Staudacher, C. Operative and long-term results after one-stage surgery for obstructing colonic cancer. Hepatogastroenterology, 2006, 53 (71), s. 698–701.
12. Hsu, T. C. Comparison of one-stage resection and anastomosis of acute complete obstruction of left and right colon. Am. J. Surg., 2005, 189 (4), s. 384–387.
13. Wyrzykowski, A. D., Feliciano, D. V., George, T. A., Tremblay, L. N., Rozycki, G. S., Murphy, T. W., Dente, C. J. Emergent right hemicolectomies. Am. Surg., 2005, 71 (8), s. 653–656.
14. Repici, A., Pagano, N., Hervoso, C. M., Danese, S., Nicita, R., Preatoni, P., Malesci, A. Metal stents for malignant colorectal obstruction. Minim Invasive Their Allied Technol. 2006, 15 (6), s. 331–338.
15. van Hooft, J. E., Bemelman, W. A., Breumelhof, R., Siersema, P. D., Kruyt, P. M., van der Linde, K., Veenendaal, R. A., Verhulst, M. L., Marinelli, A. W., Gerritsen, J. J., van Berkel, A. M., Timmer, R., Grubben, M. J., Scholten, P., Geraedts, A. A., Oldenburg, B., Sprangers, M. A., Bossuyt, P. M., Fockens, P. Colonic stenting as bridge to surgery versus emergency surgery for management of acute left-sided malignant colonic obstruction: a multicenter randomized trial (Stent-in 2 study). BMC Surg., 2007, Jul 3, 7, s. 12.
Labels
Surgery Orthopaedics Trauma surgeryArticle was published in
Perspectives in Surgery
2008 Issue 1
Most read in this issue
- New Options for Management of Posttraumatic Articular Cartilage Defects
- K-ras Mutation as a Prognostic Factor in Colorectal Carcinoma
- Diagnostics of Intestinal Ischemia. Influence of Surgery on Plasma Levels of I-FABP as the Marker of Enterocyte Injury
- Variations of Primary Spontaneous Pneumothorax Management