Symptoms and General Pathology

All Conditions

Neoplasms

Digestive System Diseases

Emergencies

Colorectal Neoplasms

Intestinal Neoplasms

Gastrointestinal Neoplasms

Digestive System Neoplasms

Gastrointestinal Diseases

Colonic Diseases

Intestinal Diseases

Rectal Diseases

Disease Attributes

Patients presented to emergency by complicated colorectal cancer ( Obstruction, bleeding or perforation)

Patients presented with uncomplicated colorectal cancer for resection treatment

Curative resection of colorectal cancer

Mohamed Elmessiry, MD, PhD

The feasibility and efficacy of emergency curative resection of complicated colorectal cancer is still controversial. This prospective study aim is to assess surgical and oncologic outcomes after emergency compared to elective curative resection of colorectal cancer

60 consecutive patients presented with complicated colorectal cancer managed by emergency surgery were included and compared to another 155 consecutive patients admitted during the same period with uncomplicated colorectal cancer managed by elective surgery. Both groups were compared regarding curative resection rate, early postoperative mortality and morbidity, 3-years tumor recurrence and survival rates.

Surgical specimens after curative resection of colorectal cancer

Emergency Curative Resection of Colorectal Cancer

Emergency Curative Resection of Colorectal Cancer, Do it With Caution. A Comparative Case Series

Negative resection margins + adequate lymphadenectomy ( Lymph Nodes retrieved \> 12)

early death due to cause related to surgery

% of patients survived without recurrence

% of all patients survived either with or without recurrence

University of Alexandria

Ass. Professor

Rare Diseases

Carcinoma

Stomach Neoplasms

Stomach Diseases

Stomach Cancer

Operable gastric cancer was treated by radical gastrectomy and limited D1 lymphadenectomy

Operable gastric cancer was treated by radical gastrectomy and extended D2 lymphadenectomy

Radical gastrectomy with D1 lymphadenectomy

D1 lymphadenectomy

Radical gastrectomy with D2 lymphadenectomy

D2 lymphadenectomy

Gastric carcinoma is the second most common cause of cancer-related deaths and its main treatment modality if potentially curable is surgery but the optimal surgical resection is controversial. The aim of the current study was to assess the outcomes of curative D2 compared to D1 gastrectomy of operable gastric carcinoma regarding postoperative morbidity and mortality, disease recurrence and survival rates.

80 consecutive patients with potentially operable gastric carcinoma were randomized via concealed envelopes into 2 groups (each included 40 patients), group I managed by radical gastrectomy with D1 lymphadenectomy while group II managed by radical gastrectomy with D2 lymphadenectomy . Both groups were compared regarding postoperative mortality, morbidities, tumor recurrence and 2 years survival rates.

Curative D2 vs D1 Lymphadenectomy in Operable Gastric Carcinoma

Surgical and Oncologic Outcomes After Curative D2 vs D1 Gastrectomy in Operable Gastric Carcinoma, A Randomized Controlled Study in Egyptian Population

Frequency of early postoperative complications

Frequency of early postoperative mortality

Frequency of tumor recurrence within 2 years after curative surgery

Frequency of patients died because of gastric cancer within 2 years after curative surgery

Percentage of patients survived for 2 years without tumor recurrence

Percentage of patients survived for 2 years with/without tumor recurrence

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization
Emergency Curative Resection of Colorectal Cancer	NCT04288284	Colorectal Canc... Oncologic Compl...	Curative resect...	18 Years - 70 Years	University of Alexandria
Curative D2 vs D1 Lymphadenectomy in Operable Gastric Carcinoma	NCT04340440	Gastric Cancer	D1 lymphadenect... D2 lymphadenect...	20 Years - 70 Years	University of Alexandria
Curative D2 vs D1 Lymphadenectomy in Operable Gastric Carcinoma	NCT04340440	Gastric Cancer	D1 lymphadenect... D2 lymphadenect...	20 Years - 70 Years	University of Alexandria
Emergency Curative Resection of Colorectal Cancer	NCT04288284	Colorectal Canc... Oncologic Compl...	Curative resect...	18 Years - 70 Years	University of Alexandria

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