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2008, Number 6

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Cir Cir 2008; 76 (6)

Laparotomía por neoplasia maligna en un servicio de urgencias

Torres-Rojo A, Gracida-Mancilla NI, Athié-Gutiérrez C, Torres-Lobatón A, López-López JM, Rico-Hinojosa MÁ

Language: Spanish
References: 46
Page: 487-496
PDF size: 62.80 Kb.


ABSTRACT

Objective: We show the frequency of laparotomies related to malignancies without a previous diagnosis of cancer as the relationship between the causes of these and the outcome of the patients after surgery. We also investigated whether patients received oncological treatment and, if so, we obtained the results of this treatment.
Methods: A retrospective study was carried out from the files of postoperative patients with acute abdominal pain treated in the Emergency Room of the Hospital General de Mexico, OD between December 2001 and December 2006. Those patients with a histopathologically confirmed cancer were included. We followed-up these patients.
Results: We found 52 files associated with acute abdominal pain and cancer, which represented 1.2% of 4171 surgeries for acute abdominal pain done during that period. We reported that 40.3% of the surgeries were done due to obstruction; 32.6% due to abdominal pain; 23% due to perforations, and 3.8% were attributed to vascular causes. The most common neoplastic pathologies were colorectal cancer (40.3%), ovarian cancer (13.4%), and gastric cancer and lymphomas with 7% for each. Eight patients died during the postoperative period (15.3%): 9.5% due to obstructions; 17.6% due to inflammation and 25% caused by perforations. Only 16/44 patients from this study who survived the surgery (36.6%) were evaluated and received oncological treatment and six had an outcome without clinical evidence of disease.
Conclusions: Results of this study are in accordance with the bibliography consulted. A low number of patients were followed up after surgery. It is necessary that all survivors of urgent surgery be evaluated for multidisciplinary oncological management in order to have a better outcome.


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