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dc.contributorVall d'Hebron Barcelona Hospital Campus
dc.contributor.authorde’Angelis, Nicola
dc.contributor.authorEspin-Basany, Eloy
dc.contributor.authorRis, Frederic
dc.contributor.authorLandi, Filippo
dc.contributor.authorLe Roy, Bertrand
dc.contributor.authorCoccolini, Federico
dc.contributor.authorSolis Peña, Alejandro
dc.contributor.authorKraft Carré, Miquel Eduard
dc.date.accessioned2021-12-28T10:25:21Z
dc.date.available2021-12-28T10:25:21Z
dc.date.issued2021-04-29
dc.identifier.citationde’Angelis N, Espin E, Ris F, Landi F, Le Roy B, Coccolini F, et al. Emergency surgery for splenic flexure cancer: results of the SFC Study Group database. World J Emerg Surg. 2021 Apr 29;16:20.
dc.identifier.issn1749-7922
dc.identifier.urihttp://hdl.handle.net/11351/6751
dc.descriptionColectomy; Mortality; Splenic flexure carcinoma
dc.description.abstractBackground The effectiveness of surgical treatment for splenic flexure carcinomas (SFCs) in emergency settings remains unexplored. This study aims to compare the perioperative and long-term outcomes of different alternatives for emergency SFC resection. Method This multicenter retrospective study was based on the SFC Study Group database. For the present analysis, SFC patients were selected if they had received emergency surgical resection with curative intent between 2000 and 2018. Extended right colectomy (ERC), left colectomy (LC), and segmental left colectomy (SLC) were evaluated and compared. Results The study sample was composed of 90 SFC patients who underwent emergency ERC (n = 55, 61.1%), LC (n = 18, 20%), or SLC (n = 17, 18.9%). Bowel obstruction was the most frequent indication for surgery (n = 75, 83.3%), and an open approach was chosen in 81.1% of the patients. A higher incidence of postoperative complications was observed in the ERC group (70.9%) than in the LC (44.4%) and SLC groups (47.1%), with a significant procedure-related difference for severe postoperative complications (Dindo-Clavien ≥ III; adjusted odds ratio for ERC vs. LC:7.23; 95% CI 1.51-34.66; p = 0.013). Anastomotic leakage occurred in 8 (11.2%) patients, with no differences between the groups (p = 0.902). R0 resection was achieved in 98.9% of the procedures, and ≥ 12 lymph nodes were retrieved in 92.2% of patients. Overall and disease-free survival rates at 5 years were similar between the groups and were significantly associated with stage pT4 and the presence of synchronous metastases. Conclusion In the emergency setting, ERC and open surgery are the most frequently performed procedures. ERC is associated with increased odds of severe postoperative complications when compared to more conservative SFC resections. Nonetheless, all the alternatives seem to provide similar pathologic and long-term outcomes, supporting the oncological safety of more conservative resections for emergency SFCs.
dc.language.isoeng
dc.publisherBMC
dc.relation.ispartofseriesWorld Journal of Emergency Surgery;16
dc.rightsAttribution 4.0 International
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.sourceScientia
dc.subjectCòlon - Càncer - Cirurgia
dc.subjectAvaluació de resultats (Assistència sanitària)
dc.subject.meshColonic Neoplasms
dc.subject.mesh/surgery
dc.subject.meshColectomy
dc.subject.meshTreatment Outcome
dc.titleEmergency surgery for splenic flexure cancer: results of the SFC Study Group database
dc.typeinfo:eu-repo/semantics/article
dc.identifier.doi10.1186/s13017-021-00365-0
dc.subject.decsneoplasias del colon
dc.subject.decs/cirugía
dc.subject.decscolectomía
dc.subject.decsresultado del tratamiento
dc.relation.publishversionhttps://doi.org/10.1186/s13017-021-00365-0
dc.type.versioninfo:eu-repo/semantics/publishedVersion
dc.audienceProfessionals
dc.contributor.organismesInstitut Català de la Salut
dc.contributor.authoraffiliation[de'Angelis N] Unit of Minimally Invasive and Robotic Digestive Surgery, General Regional Hospital F. Miulli, Acquaviva delle Fonti, Bari, Italy. University of Paris Est, UPEC, Créteil, France. [Espin E, Solis A, Kraft M] Unitat de Cirurgia de Còlon i Recte, Servei de Cirurgia General i Digestiva, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Spain. [Ris F] Service of Abdominal Surgery, Geneva University Hospitals and Medical School, Geneva, Switzerland. [Landi F] Department of General Surgery, Viladecans Hospital, Barcelona, Spain. [Le Roy B] Department of Digestive and Hepato-biliary Surgery, Hospital Estaing, CHU Clermont-Ferrand, Clermont-Ferrand, France. [Coccolini F] General, Emergency and Trauma Surgery Department, Bufalini Hospital, Cesena, Italy.
dc.identifier.pmid33926504
dc.identifier.wos000645633000002
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess


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