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European Journal of Trauma and Emergency Surgery
Published in: European Journal of Trauma and Emergency Surgery 1/2018

01-02-2018 | Original Article

Emergency surgery for obstructing colonic cancer: a comparison between right-sided and left-sided lesions

Authors: J.-L. Faucheron, B. Paquette, B. Trilling, B. Heyd, S. Koch, G. Mantion

Published in: European Journal of Trauma and Emergency Surgery | Issue 1/2018

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Abstract

Purpose

Few studies compare management and outcomes of obstructive colonic cancer, depending on the tumor site. We aim to evaluate the differences in patient characteristics, tumor characteristics, and outcomes of emergency surgery for obstructive right-sided versus left-sided colonic cancers.

Methods

Between 2000 and 2009, 71 consecutive patients had an emergency colectomy following strict and clear definition of obstruction in a single institution. We retrospectively analyzed pre, per, and postoperative data that were prospectively collected.

Results

There were 31 and 40 patients in the right and left group, respectively. Patients aged over 80 were more frequent in the right group (p = 0.03). At operation, ileocecal valve was less often competent in the right group (p = 0.03). The one-stage strategy was more frequent in the right group (p = 0.008). Patients in the right group had a higher rate of nodes invasion (p = 0.04). One- and two-year mortality rate in the right group had a tendency to be higher.

Conclusions

Patients presenting with a right obstructive colonic cancer are older, have a more advanced locoregional disease, and are more often treated in a one-stage strategy than patients with a left obstructive tumor.
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Metadata
Title
Emergency surgery for obstructing colonic cancer: a comparison between right-sided and left-sided lesions
Authors
J.-L. Faucheron
B. Paquette
B. Trilling
B. Heyd
S. Koch
G. Mantion
Publication date
01-02-2018
Publisher
Springer Berlin Heidelberg
Published in
European Journal of Trauma and Emergency Surgery / Issue 1/2018
Print ISSN: 1863-9933
Electronic ISSN: 1863-9941
DOI
https://doi.org/10.1007/s00068-017-0766-x

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