Current management of surgical oncologic emergencies

Objectives: For some oncologic emergencies, surgical interventions are necessary for dissolution or temporary relieve. In the absence of guidelines, the most optimal method for decision making would be in a multidisciplinary cancer conference (MCC). In an acute setting, the opportunity for multidisciplinary discussion is often not available. In this study, the management and short term outcome of patients after surgical oncologic emergency consultation was analyzed. Method: A prospective registration and follow up of adult patients with surgical oncologic emergencies between 01-11-2013 and 30-04-2014. The follow up period was 30 days. Results: In total, 207 patients with surgical oncologic emergencies were included. Postoperative wound infections, malignant obstruction, and clinical deterioration due to progressive disease were the most frequent conditions for surgical oncologic emergency consultation. During the follow up period, 40% of patients underwent surgery. The median number of ...

研究目的：针对部分肿瘤急症，需实施外科干预以实现病灶清除或症状临时缓解。在缺乏相关指南的前提下，多学科肿瘤会诊（Multidisciplinary Cancer Conference, MCC）是制定最优诊疗决策的最佳路径。然而在急诊场景中，往往无法开展多学科讨论。本研究旨在分析接受外科肿瘤急症会诊患者的诊疗方案与短期预后情况。
研究方法：本研究对2013年11月1日至2014年4月30日期间收治的成人外科肿瘤急症患者进行前瞻性登记与随访，随访周期为30天。
研究结果：本研究共纳入207例外科肿瘤急症患者。术后伤口感染、恶性梗阻以及因疾病进展导致的临床恶化，是外科肿瘤急症会诊的最常见适应证。随访期间，40%的患者接受了外科手术治疗。中位手术次数……