title: The current status of emergency operations at a high-volume cancer center.
abstract: This study aimed to assess the pathogenic causes, clinical conditions, surgical procedures, in-hospital mortality, and operative death associated with emergency operations at a high-volume cancer center. Although many reports have described the contents, operative procedures, and prognosis of elective surgeries in high-volume cancer centers, emergency operations have not been studied in sufficient detail. We retrospectively enrolled 28 consecutive patients who underwent emergency surgery. Cases involving operative complications were excluded. The following surgical procedures were performed during emergency operations: closure in 3 cases (10.7%), diversion in 22 cases (78.6%), ileus treatment in 2 cases (7.1%), and hemostasis in 1 case (3.6%). Closure alone was performed only once for peritonitis. Diversion was performed in 17 cases (77.3%) of peritonitis, 4 cases (18.2%) of stenosis of the gastrointestinal tract, and 1 case (4.5%) of bleeding. There was a significant overall difference (P = 0.001). The frequency of emergency operations was very low at a high-volume cancer center. However, the recent shift in treatment approaches toward nonoperative techniques may enhance the status of emergency surgical procedures. The results presented in this study will help prepare for emergency situations and resolve them as quickly and efficiently as possible.
authors.affiliation: Department of Gastroenterological Surgery, Aichi Cancer Center Hospital, Nagoya, Aichi 464-8681, Japan.
authors.forename: Koji
authors.initials: K
authors.lastname: Komori
authors.forename: Kenya
authors.initials: K
authors.lastname: Kimura
authors.forename: Takashi
authors.initials: T
authors.lastname: Kinoshita
authors.forename: Seiji
authors.initials: S
authors.lastname: Ito
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Abe
authors.forename: Yoshiki
authors.initials: Y
authors.lastname: Senda
authors.forename: Kazunari
authors.initials: K
authors.lastname: Misawa
authors.forename: Yuichi
authors.initials: Y
authors.lastname: Ito
authors.forename: Norihisa
authors.initials: N
authors.lastname: Uemura
authors.forename: Seiji
authors.initials: S
authors.lastname: Natsume
authors.forename: Ryosuke
authors.initials: R
authors.lastname: Kawai
authors.forename: Jiro
authors.initials: J
authors.lastname: Kawakami
authors.forename: Tomonari
authors.initials: T
authors.lastname: Asano
authors.forename: Yoshinori
authors.initials: Y
authors.lastname: Iwata
authors.forename: Shintaro
authors.initials: S
authors.lastname: Kurahashi
authors.forename: Masayuki
authors.initials: M
authors.lastname: Tsutsuyama
authors.forename: Itaru
authors.initials: I
authors.lastname: Shigeyoshi
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Shimizu
mesh_terms: D002173:Cancer Care Facilities / Q000458:organization & administration*; D004630:Emergencies; D005260:Female; D017052:Hospital Mortality; D006801:Humans; D007049:Iatrogenic Disease / Q000453:epidemiology; D007564:Japan / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000401:mortality / Q000601:surgery* / Q000628:therapy; D010043:Outcome and Process Assessment, Health Care; D011379:Prognosis; D012189:Retrospective Studies
keywords: Emergency operations; High-volume cancer center