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

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European Journal of Trauma and Emergency Surgery Aims and scope Submit manuscript

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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Author information

Authors and Affiliations

  1. Colorectal Unit, Department of Surgery, Grenoble Alps University Hospital, 38000, Grenoble, France

    J.-L. Faucheron & B. Trilling

  2. University Grenoble Alps, UMR 5525, CNRS, TIMC-IMAG, 38000, Grenoble, France

    J.-L. Faucheron & B. Trilling

  3. Department of Surgery, University Hospital, 25030, Besançon Cedex, France

    B. Paquette, B. Heyd & G. Mantion

  4. Department of Gastroenterology, University Hospital, 25030, Besançon Cedex, France

    S. Koch & G. Mantion

Authors
  1. J.-L. Faucheron
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  2. B. Paquette
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  3. B. Trilling
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  4. B. Heyd
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  5. S. Koch
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  6. G. Mantion
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Corresponding author

Correspondence to J.-L. Faucheron.

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Source of support and disclosures

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors. No conflicts of interest are to be reported.

Conflict of interest

Jean-Luc Faucheron, Brice Paquette, Bertrand Trilling, Bruno Heyd, Stéphane Koch and Georges Mantion have no conflict of interest to disclose.

Research involving human participants and/or animals

Not applicable.

Informed consent

This retrospective study was approved by the local institutional review board.

Additional information

Presented at the Annual Scientific Meeting of the American Society of Colon and Rectal Surgeons, Boston, MA, May 30 to June 3, 2015.

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Faucheron, JL., Paquette, B., Trilling, B. et al. Emergency surgery for obstructing colonic cancer: a comparison between right-sided and left-sided lesions. Eur J Trauma Emerg Surg 44, 71–77 (2018). https://doi.org/10.1007/s00068-017-0766-x

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  • DOI: https://doi.org/10.1007/s00068-017-0766-x

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