RESULTS OF EMERGENCY SURGICAL INTERVENTIONS FOR COLORECTAL CANCER COMPLICATED BY BLEEDING

The OBJECTIVE was to evaluate oncological results of five-year survival of patients with colorectal cancer (CRC) complicated by bleeding who underwent emergency resections.MATERIAL AND METHODS. The study included the data of 240 patients with CRC complicated by bleeding treated in General and specialized surgical hospitals in Smolensk between 2001 and 2013 (13 years).RESULTS. Of 240 patients with CRC complicated by bleeding, 233 underwent emergency resections. Statistically significant differences were revealed in R1 and the number of investigated lymph nodes between the coloproctological and General surgical hospitals (p=0.01, p<0.001) and oncological and General surgical hospitals (p=0.016, p<0.0001). The indicators of 5-year overall and relapse-free survival were more in patients who had underwent emergency surgical interventions in specialized hospitals (p=0.00217, p=0.0143).CONCLUSION. When bleeding from the tumor, the mortality rate after surgery was 17.9%, the frequency of severe postoperative complications (IIIb-IVb complications according to Clavien-Dindo) – 44.7%.The authors declare no conflict of interest.The authors confirm that they respect the rights of the people participated in the study, including obtaining informed consent when it is necessary, and the rules of treatment of animals when they are used in the study. Author Guidelines contains the detailed information