Introduction: Emergency tumor resection in monobloc is the most common. The alternative is to perform an emergency digestive bypass by a near upstream stoma if the patient's condition does not allow carcinological surgery. The objective of this study was to evaluate the results of single- versus multistage surgery in occluded colorectal cancer. Method: A single-center, cross-sectional study had included colonic cancers in occlusion operated on between 2015 and 2019 regardless of the evolutionary stage of the lesion. Patients operated in emergency for acute intestinal occlusion due to a colon tumor and whose histological result corresponded to a cancer were included. Results: The median age was 54.45 years (17 years; 78 years). The sex ratio was 0.93. The main surgical procedures were resection with immediate anastomosis in right hemicolectomies (n = 12) - left colectomy (n = 3), resection with two-stage anastomosis (segmental colectomy with colorectal anastomosis and/or colocolic anastomosis with protective ileostomy (n = 10), Hartmann procedure (n = 6)). The postoperative mortality rate was 3% (n = 1) of which one patient had an elective discharge colostomy. Mortality was more associated with the AFC score (age, urgency, nutritional and neurological status) than with the choice of surgery. Conclusion: One-stage surgery seems to show a slight superiority on the prognosis even in the context of occlusion. Diagnostic and therapeutic management still encounter difficulties in our context.
| Published in | European Journal of Clinical and Biomedical Sciences (Volume 8, Issue 6) |
| DOI | 10.11648/j.ejcbs.20220806.11 |
| Page(s) | 80-83 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2023. Published by Science Publishing Group |
Bowel Obstruction, Cancer, Colectomy, Colostomy
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APA Style
Rasataharifetra Hanta, Rahantasoa Finaritra Casimir Fleur Prudence, Razafindraibe Vanona Barijaona, Mahavory Marc Joel, Samison Luc Herve, et al. (2023). Colonic Cancer in Occlusion: The Choice Between Synchronous and Sequential Surgery. European Journal of Clinical and Biomedical Sciences, 8(6), 80-83. https://doi.org/10.11648/j.ejcbs.20220806.11
ACS Style
Rasataharifetra Hanta; Rahantasoa Finaritra Casimir Fleur Prudence; Razafindraibe Vanona Barijaona; Mahavory Marc Joel; Samison Luc Herve, et al. Colonic Cancer in Occlusion: The Choice Between Synchronous and Sequential Surgery. Eur. J. Clin. Biomed. Sci. 2023, 8(6), 80-83. doi: 10.11648/j.ejcbs.20220806.11
AMA Style
Rasataharifetra Hanta, Rahantasoa Finaritra Casimir Fleur Prudence, Razafindraibe Vanona Barijaona, Mahavory Marc Joel, Samison Luc Herve, et al. Colonic Cancer in Occlusion: The Choice Between Synchronous and Sequential Surgery. Eur J Clin Biomed Sci. 2023;8(6):80-83. doi: 10.11648/j.ejcbs.20220806.11
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Download@article{10.11648/j.ejcbs.20220806.11,
author = {Rasataharifetra Hanta and Rahantasoa Finaritra Casimir Fleur Prudence and Razafindraibe Vanona Barijaona and Mahavory Marc Joel and Samison Luc Herve and Rakotoarijaona Armand Herinirina},
title = {Colonic Cancer in Occlusion: The Choice Between Synchronous and Sequential Surgery},
journal = {European Journal of Clinical and Biomedical Sciences},
volume = {8},
number = {6},
pages = {80-83},
doi = {10.11648/j.ejcbs.20220806.11},
url = {https://doi.org/10.11648/j.ejcbs.20220806.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejcbs.20220806.11},
abstract = {Introduction: Emergency tumor resection in monobloc is the most common. The alternative is to perform an emergency digestive bypass by a near upstream stoma if the patient's condition does not allow carcinological surgery. The objective of this study was to evaluate the results of single- versus multistage surgery in occluded colorectal cancer. Method: A single-center, cross-sectional study had included colonic cancers in occlusion operated on between 2015 and 2019 regardless of the evolutionary stage of the lesion. Patients operated in emergency for acute intestinal occlusion due to a colon tumor and whose histological result corresponded to a cancer were included. Results: The median age was 54.45 years (17 years; 78 years). The sex ratio was 0.93. The main surgical procedures were resection with immediate anastomosis in right hemicolectomies (n = 12) - left colectomy (n = 3), resection with two-stage anastomosis (segmental colectomy with colorectal anastomosis and/or colocolic anastomosis with protective ileostomy (n = 10), Hartmann procedure (n = 6)). The postoperative mortality rate was 3% (n = 1) of which one patient had an elective discharge colostomy. Mortality was more associated with the AFC score (age, urgency, nutritional and neurological status) than with the choice of surgery. Conclusion: One-stage surgery seems to show a slight superiority on the prognosis even in the context of occlusion. Diagnostic and therapeutic management still encounter difficulties in our context.},
year = {2023}
}
TY - JOUR T1 - Colonic Cancer in Occlusion: The Choice Between Synchronous and Sequential Surgery AU - Rasataharifetra Hanta AU - Rahantasoa Finaritra Casimir Fleur Prudence AU - Razafindraibe Vanona Barijaona AU - Mahavory Marc Joel AU - Samison Luc Herve AU - Rakotoarijaona Armand Herinirina Y1 - 2023/01/09 PY - 2023 N1 - https://doi.org/10.11648/j.ejcbs.20220806.11 DO - 10.11648/j.ejcbs.20220806.11 T2 - European Journal of Clinical and Biomedical Sciences JF - European Journal of Clinical and Biomedical Sciences JO - European Journal of Clinical and Biomedical Sciences SP - 80 EP - 83 PB - Science Publishing Group SN - 2575-5005 UR - https://doi.org/10.11648/j.ejcbs.20220806.11 AB - Introduction: Emergency tumor resection in monobloc is the most common. The alternative is to perform an emergency digestive bypass by a near upstream stoma if the patient's condition does not allow carcinological surgery. The objective of this study was to evaluate the results of single- versus multistage surgery in occluded colorectal cancer. Method: A single-center, cross-sectional study had included colonic cancers in occlusion operated on between 2015 and 2019 regardless of the evolutionary stage of the lesion. Patients operated in emergency for acute intestinal occlusion due to a colon tumor and whose histological result corresponded to a cancer were included. Results: The median age was 54.45 years (17 years; 78 years). The sex ratio was 0.93. The main surgical procedures were resection with immediate anastomosis in right hemicolectomies (n = 12) - left colectomy (n = 3), resection with two-stage anastomosis (segmental colectomy with colorectal anastomosis and/or colocolic anastomosis with protective ileostomy (n = 10), Hartmann procedure (n = 6)). The postoperative mortality rate was 3% (n = 1) of which one patient had an elective discharge colostomy. Mortality was more associated with the AFC score (age, urgency, nutritional and neurological status) than with the choice of surgery. Conclusion: One-stage surgery seems to show a slight superiority on the prognosis even in the context of occlusion. Diagnostic and therapeutic management still encounter difficulties in our context. VL - 8 IS - 6 ER -
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