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Perforated colorectal cancers: clinical outcomes of 18 patients who underwent emergency surgery

INTRODUCTION: Although colon cancer perforations are rare among acute abdominal syndromes, it is a clinical picture with high mortality that requires urgent treatment. AIM: In this study, the clinical results of patients who were operated in emergency conditions due to colorectal cancer perforation...

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Autores principales: Gök, Mehmet Ali, Kafadar, Mehmet Tolga, Yeğen, Serkan Fatih
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Termedia Publishing House 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8275966/
https://www.ncbi.nlm.nih.gov/pubmed/34276844
http://dx.doi.org/10.5114/pg.2021.106667
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author Gök, Mehmet Ali
Kafadar, Mehmet Tolga
Yeğen, Serkan Fatih
author_facet Gök, Mehmet Ali
Kafadar, Mehmet Tolga
Yeğen, Serkan Fatih
author_sort Gök, Mehmet Ali
collection PubMed
description INTRODUCTION: Although colon cancer perforations are rare among acute abdominal syndromes, it is a clinical picture with high mortality that requires urgent treatment. AIM: In this study, the clinical results of patients who were operated in emergency conditions due to colorectal cancer perforation were evaluated. MATERIAL AND METHODS: The data of 18 patients treated for colorectal cancer perforation in our clinic between February 2014 and February 2017 were retrospectively reviewed. The following data were evaluated: demographic features of the patients, location of the tumour, metastasis, stage of the tumour, number of lymph nodes dissected, survival, type, and prognosis of the surgery. RESULTS: Eight (44%) of 18 patients with perforated colon cancers were female and 10 (56%) were male. The mean age was 65.2 (31–104) years. Four of the patients had liver metastasis only, and 5 had multiple metastases. All cases had sudden abdominal pain and acute abdominal clinical findings. Fourteen of the patients underwent full resection, and 4 of them underwent partial resection and trephine stoma (colostomy). Perioperative mortality was not observed. The long-term mortality rate in our study was 77.7% (n = 14), and the operative mortality rate was 44% (n = 8). Additional organ injuries occurred during resection in 2 patients. CONCLUSIONS: Colorectal cancer perforation seen in advanced ages is one of the causes of acute abdominal syndrome, which can be fatal. The general condition of the patient and the size and localization of the perforation should be taken into consideration in the choice of treatment. Curative surgery can also be performed in perforated colorectal cancers. However, partial resection and trephine colostomy should be performed in patients with multiple metastases and poor general condition.
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spelling pubmed-82759662021-07-15 Perforated colorectal cancers: clinical outcomes of 18 patients who underwent emergency surgery Gök, Mehmet Ali Kafadar, Mehmet Tolga Yeğen, Serkan Fatih Prz Gastroenterol Original Paper INTRODUCTION: Although colon cancer perforations are rare among acute abdominal syndromes, it is a clinical picture with high mortality that requires urgent treatment. AIM: In this study, the clinical results of patients who were operated in emergency conditions due to colorectal cancer perforation were evaluated. MATERIAL AND METHODS: The data of 18 patients treated for colorectal cancer perforation in our clinic between February 2014 and February 2017 were retrospectively reviewed. The following data were evaluated: demographic features of the patients, location of the tumour, metastasis, stage of the tumour, number of lymph nodes dissected, survival, type, and prognosis of the surgery. RESULTS: Eight (44%) of 18 patients with perforated colon cancers were female and 10 (56%) were male. The mean age was 65.2 (31–104) years. Four of the patients had liver metastasis only, and 5 had multiple metastases. All cases had sudden abdominal pain and acute abdominal clinical findings. Fourteen of the patients underwent full resection, and 4 of them underwent partial resection and trephine stoma (colostomy). Perioperative mortality was not observed. The long-term mortality rate in our study was 77.7% (n = 14), and the operative mortality rate was 44% (n = 8). Additional organ injuries occurred during resection in 2 patients. CONCLUSIONS: Colorectal cancer perforation seen in advanced ages is one of the causes of acute abdominal syndrome, which can be fatal. The general condition of the patient and the size and localization of the perforation should be taken into consideration in the choice of treatment. Curative surgery can also be performed in perforated colorectal cancers. However, partial resection and trephine colostomy should be performed in patients with multiple metastases and poor general condition. Termedia Publishing House 2021-06-04 2021 /pmc/articles/PMC8275966/ /pubmed/34276844 http://dx.doi.org/10.5114/pg.2021.106667 Text en Copyright © 2021 Termedia https://creativecommons.org/licenses/by-nc-sa/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0). License (http://creativecommons.org/licenses/by-nc-sa/4.0/ (https://creativecommons.org/licenses/by-nc-sa/4.0/) )
spellingShingle Original Paper
Gök, Mehmet Ali
Kafadar, Mehmet Tolga
Yeğen, Serkan Fatih
Perforated colorectal cancers: clinical outcomes of 18 patients who underwent emergency surgery
title Perforated colorectal cancers: clinical outcomes of 18 patients who underwent emergency surgery
title_full Perforated colorectal cancers: clinical outcomes of 18 patients who underwent emergency surgery
title_fullStr Perforated colorectal cancers: clinical outcomes of 18 patients who underwent emergency surgery
title_full_unstemmed Perforated colorectal cancers: clinical outcomes of 18 patients who underwent emergency surgery
title_short Perforated colorectal cancers: clinical outcomes of 18 patients who underwent emergency surgery
title_sort perforated colorectal cancers: clinical outcomes of 18 patients who underwent emergency surgery
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8275966/
https://www.ncbi.nlm.nih.gov/pubmed/34276844
http://dx.doi.org/10.5114/pg.2021.106667
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