Comparation of single or staged surgical management in acute obstructive non-metastatic colorectal cancer patients aged over 75

Jian Cui; Jinxin Shi; Hao Feng; Danian Tang; Xianglong Cao; Wenrui Xu; Zijian Li; Tao Yu; Chunlong Wang; Qi An; Gang Zhao

Clinical Surgical Oncology (Jun 2024)

Comparation of single or staged surgical management in acute obstructive non-metastatic colorectal cancer patients aged over 75

Jian Cui,
Jinxin Shi,
Hao Feng,
Danian Tang,
Xianglong Cao,
Wenrui Xu,
Zijian Li,
Tao Yu,
Chunlong Wang,
Qi An,
Gang Zhao

Affiliations

Jian Cui: Department of General Surgery,Department of Gastrointestinal Surgery,Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, China
Jinxin Shi: Department of General Surgery,Department of Gastrointestinal Surgery,Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, China
Hao Feng: State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
Danian Tang: Department of General Surgery,Department of Gastrointestinal Surgery,Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, China
Xianglong Cao: Department of General Surgery,Department of Gastrointestinal Surgery,Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, China
Wenrui Xu: Department of Radiology, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, China
Zijian Li: Department of General Surgery,Department of Gastrointestinal Surgery,Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, China
Tao Yu: Department of General Surgery,Department of Gastrointestinal Surgery,Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, China
Chunlong Wang: Department of Pathophysiology, Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China
Qi An: Department of General Surgery,Department of Gastrointestinal Surgery,Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, China; Corresponding author.
Gang Zhao: Department of General Surgery,Department of Gastrointestinal Surgery,Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, China; Corresponding author.

Journal volume & issue: Vol. 3, no. 2
p. 100048

Abstract

Read online

Purpose: Management of obstructive colorectal cancer (OCRC) can be achieved through either emergent resection of the primary tumor (single operation), or the creation of temporary decompression stoma or self-expandable metallic stents (SEMS) insertion followed by tumor resection (staged procedure). The aim of the study was to compare the short-term outcomes of single and staged surgery in acute non-metastatic elderly OCRC patients. Methods: Twenty-two elderly patients (aged over 75) scheduled to receive either single surgery (n = 14) or staged surgery (n = 8) for the management of acute OCRC were enrolled from 2012 to 2017. The stoma rate, postoperative complications were compared. Results: The stoma rate was 42.9% in single surgery group and 25% in SEMS group. No difference was found in the rate of total complications (50% vs 25%, P = 0.25). In the single surgery group, four patients (28.6%) experienced SSIs, and pneumonia occurred in three patients (21.4%), whereas none of the patient in staged surgery had infection related complication. Overall, the rate of infection related complication in single surgery group (50%) was significantly higher than that in staged surgery group (P = 0.015). Conclusions: Either single or stage surgery is feasible for acute elderly OCRC patients. However, single surgery is associated with significant increase in infection related complication.

Published in Clinical Surgical Oncology

ISSN: 2773-160X (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Surgery; Medicine: Internal medicine: Neoplasms. Tumors. Oncology. Including cancer and carcinogens
Website: https://www.sciencedirect.com/journal/clinical-surgical-oncology

About the journal

Abstract

Keywords