Colon cancer surgery in patients operated on an emergency basis
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista do Colégio Brasileiro de Cirurgiões |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912017000500465 |
Resumo: | ABSTRACT Objective: to study the epidemiological profile of patients with colorectal cancer operated on an emergency basis at the Bonsucesso Federal Hospital. Methods: this is a retrospective study of patients operated between January 1999 and December 2012. We analyzed the following variables: age, gender, clinical data, TMN staging, tumor location, survival and types of surgery. Results: we evaluated 130 patients in the study period. The most frequent clinical picture was intestinal obstruction, in 78% of cases. Intestinal perforation was the surgical indication in 15%. The majority (39%) of the patients had advanced TNM staging, compared with 27% in the initial stage. There were 39 deaths (30%) documented in the period. The most common tumor site was the sigmoid colon (51%), followed by the ascending colon (16%). The curative intent was performed in most cases, with adjuvant treatment being performed in 40% of the patients. Distant metastases were found in 42% of the patients and 10% had documented disease recurrence. Disease-free survival at two and five years was 69% and 41%, respectively. Conclusion: there was a high mortality rate and a low survival rate in colorectal cancer patients operated on urgently. |
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Revista do Colégio Brasileiro de Cirurgiões |
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Colon cancer surgery in patients operated on an emergency basisColorectal NeoplasmsIntestinal ObstructionIntestinal PerforationColorectal SurgeryEmergenciesABSTRACT Objective: to study the epidemiological profile of patients with colorectal cancer operated on an emergency basis at the Bonsucesso Federal Hospital. Methods: this is a retrospective study of patients operated between January 1999 and December 2012. We analyzed the following variables: age, gender, clinical data, TMN staging, tumor location, survival and types of surgery. Results: we evaluated 130 patients in the study period. The most frequent clinical picture was intestinal obstruction, in 78% of cases. Intestinal perforation was the surgical indication in 15%. The majority (39%) of the patients had advanced TNM staging, compared with 27% in the initial stage. There were 39 deaths (30%) documented in the period. The most common tumor site was the sigmoid colon (51%), followed by the ascending colon (16%). The curative intent was performed in most cases, with adjuvant treatment being performed in 40% of the patients. Distant metastases were found in 42% of the patients and 10% had documented disease recurrence. Disease-free survival at two and five years was 69% and 41%, respectively. Conclusion: there was a high mortality rate and a low survival rate in colorectal cancer patients operated on urgently.Colégio Brasileiro de Cirurgiões2017-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912017000500465Revista do Colégio Brasileiro de Cirurgiões v.44 n.5 2017reponame:Revista do Colégio Brasileiro de Cirurgiõesinstname:Colégio Brasileiro de Cirurgiões (CBC)instacron:CBC10.1590/0100-69912017005007info:eu-repo/semantics/openAccessRamos,Rodrigo Felippedos-Reis,Lucas Carvalho SantosTeixeira,Beatriz Esteves BorgethAndrade,Igor MarosoSulzbach,Jaqueline SuelenLeal,Ricardo Aryeng2018-03-08T00:00:00Zoai:scielo:S0100-69912017000500465Revistahttp://www.scielo.br/rcbcONGhttps://old.scielo.br/oai/scielo-oai.php||revistacbc@cbc.org.br1809-45460100-6991opendoar:2018-03-08T00:00Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC)false |
dc.title.none.fl_str_mv |
Colon cancer surgery in patients operated on an emergency basis |
title |
Colon cancer surgery in patients operated on an emergency basis |
spellingShingle |
Colon cancer surgery in patients operated on an emergency basis Ramos,Rodrigo Felippe Colorectal Neoplasms Intestinal Obstruction Intestinal Perforation Colorectal Surgery Emergencies |
title_short |
Colon cancer surgery in patients operated on an emergency basis |
title_full |
Colon cancer surgery in patients operated on an emergency basis |
title_fullStr |
Colon cancer surgery in patients operated on an emergency basis |
title_full_unstemmed |
Colon cancer surgery in patients operated on an emergency basis |
title_sort |
Colon cancer surgery in patients operated on an emergency basis |
author |
Ramos,Rodrigo Felippe |
author_facet |
Ramos,Rodrigo Felippe dos-Reis,Lucas Carvalho Santos Teixeira,Beatriz Esteves Borgeth Andrade,Igor Maroso Sulzbach,Jaqueline Suelen Leal,Ricardo Ary |
author_role |
author |
author2 |
dos-Reis,Lucas Carvalho Santos Teixeira,Beatriz Esteves Borgeth Andrade,Igor Maroso Sulzbach,Jaqueline Suelen Leal,Ricardo Ary |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Ramos,Rodrigo Felippe dos-Reis,Lucas Carvalho Santos Teixeira,Beatriz Esteves Borgeth Andrade,Igor Maroso Sulzbach,Jaqueline Suelen Leal,Ricardo Ary |
dc.subject.por.fl_str_mv |
Colorectal Neoplasms Intestinal Obstruction Intestinal Perforation Colorectal Surgery Emergencies |
topic |
Colorectal Neoplasms Intestinal Obstruction Intestinal Perforation Colorectal Surgery Emergencies |
description |
ABSTRACT Objective: to study the epidemiological profile of patients with colorectal cancer operated on an emergency basis at the Bonsucesso Federal Hospital. Methods: this is a retrospective study of patients operated between January 1999 and December 2012. We analyzed the following variables: age, gender, clinical data, TMN staging, tumor location, survival and types of surgery. Results: we evaluated 130 patients in the study period. The most frequent clinical picture was intestinal obstruction, in 78% of cases. Intestinal perforation was the surgical indication in 15%. The majority (39%) of the patients had advanced TNM staging, compared with 27% in the initial stage. There were 39 deaths (30%) documented in the period. The most common tumor site was the sigmoid colon (51%), followed by the ascending colon (16%). The curative intent was performed in most cases, with adjuvant treatment being performed in 40% of the patients. Distant metastases were found in 42% of the patients and 10% had documented disease recurrence. Disease-free survival at two and five years was 69% and 41%, respectively. Conclusion: there was a high mortality rate and a low survival rate in colorectal cancer patients operated on urgently. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-10-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912017000500465 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912017000500465 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/0100-69912017005007 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Colégio Brasileiro de Cirurgiões |
publisher.none.fl_str_mv |
Colégio Brasileiro de Cirurgiões |
dc.source.none.fl_str_mv |
Revista do Colégio Brasileiro de Cirurgiões v.44 n.5 2017 reponame:Revista do Colégio Brasileiro de Cirurgiões instname:Colégio Brasileiro de Cirurgiões (CBC) instacron:CBC |
instname_str |
Colégio Brasileiro de Cirurgiões (CBC) |
instacron_str |
CBC |
institution |
CBC |
reponame_str |
Revista do Colégio Brasileiro de Cirurgiões |
collection |
Revista do Colégio Brasileiro de Cirurgiões |
repository.name.fl_str_mv |
Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC) |
repository.mail.fl_str_mv |
||revistacbc@cbc.org.br |
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1754209214034608128 |