EVALUATION OF EMERGENCY RADICAL SURGICAL INTERVENTIONS IN PATIENTS WITH COMPLICATED COLORECTAL CANCER

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.