Outcome of emergency one-stage resection and anastomosis procedure for patients with obstructed colorectal cancer

Approximately 10% of patients with colorectal cancer present with acute large bowel obstruction. Different incidences have been reported [1], as the severity or degree of obstruction varies substantially and may significantly influence clinical decision-making. Complete obstruction may lead to extensive bowel dilatation, even leading to caecal blow-out, which increases the urgency of surgery or placement of a colonic self-expandable metal stent (SEMS).In contrast, incomplete or imminent obstruction may allow for more

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Definition of large bowel obstruction by primary colorectal cancer: A systematic review

Veld

Beek

Consten

et al. 2021

Colorectal Disease

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Comparison of Emergency Surgeries for Obstructed Colonic Cancer With Elective Surgeries; A Retrospective Study

et al. 1969

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Objective:Colon cancer patients presented with obstruction were known to have worse postoperative morbidity and mortality rates, but conflicting data has been reported in recent years. We aimed to investigate postoperative complication rates, and short and long-term oncological outcomes in patients with colon cancer treated with either emergency surgery due to obstruction or elective surgery.Methods:Two hundred fifty two patients were analyzed. Patients presented with obstruction and underwent an emergency surgery, and patients operated under elective circumstances were compared according to their demographic variables, tumor characteristics, and short and long term treatment outcomes.Results:Distribution of age, gender and comorbidities were similar between both the groups. Need for an end colostomy was significantly higher in obstructed patients (22.7% vs 1.6%, respectively). Obstructed patients were tending to be at an advanced stage. Postoperative morbidity and mortality, and prognosis of colon cancer patients presented with obstruction is worse than patients operated under elective circumstances.Conclusions:Colon cancer patients presented with obstruction constitutes more than one quarter of all patients. These patients have significantly higher morbidity and mortality rates. Obstructed colon cancer usually appears at advanced stage. Primary resection and anastomosis is safe in most of the cases.

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Outcome of emergency one-stage resection and anastomosis procedure for patients with obstructed colorectal cancer

Cited by 2 publications

References 25 publications

Definition of large bowel obstruction by primary colorectal cancer: A systematic review

Definition of large bowel obstruction by primary colorectal cancer: A systematic review

Comparison of Emergency Surgeries for Obstructed Colonic Cancer With Elective Surgeries; A Retrospective Study

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