EVALUATION OF EMERGENCY RADICAL SURGICAL INTERVENTIONS IN PATIENTS WITH COMPLICATED COLORECTAL CANCER
https://doi.org/10.33878/2073-7556-2017-0-2-30-35
Abstract
OBJECTIVE: to evaluate oncological outcomes of surgical procedures performed in emergency conditions for complicated colorectal cancer. MATERIALS AND METHODS: we studied data of 1098 patients who underwent emergency surgery for complicated colorectal cancer in hospitals of Smolensk during the period from 2001 to 2013. RESULTS: 888 pathology reports of specimen assessment were analyzed. In 33 (11,5%) of 286 cases of rectal cancer distal resection margin was positive and 102 (35,7%) cases were CRM(+). Tumor growth was also registered at the distal margin in 4 (6%) of 67 patients with rectosigmoid cancer. In the majority of cases (68,1%) the lymph node harvest did not exceed 3. 12 or more lymph nodes were assessed in 50 (5,6%) of888 removed specimens only. CONCLUSION: The analysis of treatment results revealed that inadequate number of lymph nodes examined as well as R1 resection affected cancer-specific survival.
About the Authors
S. N. Shaeva
Smolensk State Medical University; Russia State Scientific Center of Coloproctology
Russian Federation
Russian Federation
S. I. Achkasov
Smolensk State Medical University; Russia State Scientific Center of Coloproctology
Russian Federation
Russian Federation
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Review
For citations:
Shaeva S.N., Achkasov S.I. EVALUATION OF EMERGENCY RADICAL SURGICAL INTERVENTIONS IN PATIENTS WITH COMPLICATED COLORECTAL CANCER. Koloproktologia. 2017;(2):30-35. (In Russ.) https://doi.org/10.33878/2073-7556-2017-0-2-30-35
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