BACKGROUND: The primary challenge of surgery for @entity694 ( @entity694 ) presenting as an emergency is the control of the complication but a proper oncologic technique should not be missed when bowel resection is feasible. Currently, recommended oncologic criteria include en-bloc resection of invaded organs and structures, an adequate extent of the bowel resection and of the free margins and an adequate number of lymph nodes yielded. METHODS: Chart-review of 499 @entity694 @entity1 undergone colectomy. One hundred and twenty-one (group A) presented as emergencies (obstruction n=85, perforation n=30, @entity548 n=6) and were analyzed for @entity5 stage, need for enlarged resection, distal free margin, lymph node yield, mortality and morbidity. Results were compared with those observed in the 378 @entity1 operated electively (group B). RESULTS: Group A @entity1 had a more @entity5 stage (stage III/IV 62.8% vs. 48.7%, p<.01), but the need for enlarged resection was not significantly different in the two groups. Also the length of free distal margin was similar (means, group A: 97 mm; group B: 84 mm, p=ns). The number of excised nodes was greater in emergency (means, group A: 26.2 nodes; group B: 20.8 nodes, p<.01). Compared with group B, emergency procedures resulted in higher morbidity (22.3% vs. 13.4%, p<.05) and mortality (8.2% vs. .8%, p<.0001). CONCLUSIONS: Recommended oncologic resection techniques may be applicable to surgery for complicated @entity5 of the colon and radical resection may be warranted by emergency colectomy. The worse long-term prognosis for @entity1 with @entity694 presenting acutely may be related to the stage of the disease rather than to the failure of surgery.

Oncologic XXXX resection in emergency: are we doing enough?

@entity1 :: ('9606', 'Species') :: ['patients'] @entity694 :: ('MESH:D003110', 'Disease') :: ['colonic cancer', 'colon cancer', 'CC'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumor', 'advanced cancer', 'tumors'] @entity548 :: ('MESH:D006470', 'Disease') :: ['hemorrhage']
@entity694 :: (MESH:D003110,Disease) :: ['colon cancer']
