Emergency and Elective Colorectal Cancer—Relationship between Clinical Factors, Tumor Topography and Surgical Strategies: A Cohort Study - research results

Sep 22, 2026

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Background and objectives: The study analyzes relationships among clinical factors, tumor topography, and surgical strategies in patients with colorectal cancer. Materials and methods: An analytical, observational, retrospective cohort was conducted using emergency surgical department admissions from 2020–2022, including cases diagnosed with colorectal cancer (including the ileocecal valve) who underwent emergency or elective surgery. Results: Among 153 patients, 56.9% were male and 43.1% female; common presentations were pain (73.2%), abdominal distension (69.3%), and absent intestinal transit (38.6%). Emergency surgery occurred in 45.1% and elective in 54.9%. Tumor topography most often involved the sigmoid colon (19.60%), then the colorectal junction (15.68%), with superior and inferior rectum each at 11.11%. Procedures most frequently included right hemicolectomy (21.6%) and rectosigmoid resection (20.9%), with anastomosis in 49%, ostomy in 43.1%, and tumoral biopsy in 7.8%. Conclusions: Colorectal cancer remains common worldwide with substantial mortality, quality-of-life impairment, and healthcare financial burden.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages23

Reading Time58 min

AccessFree to download

Abstract

Background and Objectives

Materials and Methods

Results

Conclusions

medicina Article Emergency and Elective Colorectal Cancer—Relationship between Clinical Factors, Tumor Topography and Surgical Strategies: A Cohort Study Ionu¸t Simion Coman 1,2, Raluca Cristina Vital 2, Violeta Elena Coman 1,2, Cosmin Burleanu 2, Mircea Li¸tescu 3,4,*, Costin George Florea 2, Daniel Alin Cristian 5,6, Gabriel-Petre Gorecki 7,8, Petru Adrian Radu 9,10, Iancu Emil Ple¸sea 11, Anwar Erchid 2 and Valentin Titus Grigorean 1,2 Citation: Coman, I.S.; Vital, R.C.; Coman, V.E.; Burleanu, C.; Li¸tescu, M.; Florea, C.G.; Cristian, D.A.; Gorecki, G.-P.; Radu, P.A.; Ple¸sea, I.E.; et al. Emergency and Elective Colorectal Cancer—Relationship between Clinical Factors, Tumor Topography and Surgical Strategies: A Cohort Study. Medicina 2024, 60, 898 . [https://doi.org/10.3390/](https://doi.org/10.3390/)[ ](https://doi.org/10.3390/)medicina60060898 Academic Editor: Shinobu Ohnuma Received: 2 May 2024 Revised: 23 May 2024 Accepted: 27 May 2024 Published: 29 May 2024 Copyright: © 2024 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ([https://](https://)[ ](https://)[creativecommons.org/licenses/by/](creativecommons.org/licenses/by/)[ ](creativecommons.org/licenses/by/)[4.0/](4.0/)) . 1 10th Clinical Department—General Surgery, Discipline of General Surgery—“Bagdasar-Arseni” Clinical Emergency Hospital, Faculty of Medicine,“Carol Davila” University of Medicine and Pharmacy, 37 Dionisie Lupu Street, 020021 Bucharest, Romania; [ionut.coman@umfcd.ro](ionut.coman@umfcd.ro) (I.S.C.); [elena.coman@umfcd.ro](elena.coman@umfcd.ro) (V.E.C.); [valentin.grigorean@umfcd.ro](valentin.grigorean@umfcd.ro) (V.T.G.) 2 General Surgery Department,“Bagdasar-Arseni” Clinical Emergency Hospital, 12 Berceni Road, 041915 Bucharest, Romania; [ralumateescu1310@gmail.com](ralumateescu1310@gmail.com) (R.C.V.); [burleanucosmin@gmail.com](burleanucosmin@gmail.com) (C.B.); costinflorea1990@gmail.com (C.G.F.); erchid.anwar@yahoo.com (A.E.) 3 2nd Department of Surgery and General Anesthesia, Discipline of Surgery and General Anesthesia—“Sf. Ioan” Clinical Emergency Hospital, Faculty of Dental Medicine,“Carol Davila” University of Medicine and Pharmacy, 37 Dionisie Lupu Street, 020021 Bucharest, Romania 4 General Surgery Department,“Sf. Ioan” Clinical Emergency Hospital, 13 Vitan-Bârze¸sti Road, 042122 Bucharest, Romania 5 10th Clinical Department—General Surgery, Discipline of General Surgery—“Col¸tea” Clinical Hospital, Faculty of Medicine,“Carol Davila” University of Medicine and Pharmacy, 37 Dionisie Lupu Street, 020021 Bucharest, Romania; [daniel.cristian@umfcd.ro](daniel.cristian@umfcd.ro) 6 General Surgery Department,“Col¸tea” Clinical Hospital, 1 Ion C. Brătianu Boulevard, 030167 Bucharest, Romania 7 Faculty of Medicine,“Titu Maiorescu” University, 67A Gheorghe Petra¸scu Street, 031593 Bucharest, Romania; gabriel.gorecki@prof.utm.ro 8 Department of Anesthesia and Intensive Care, CF2 Clinical Hospital, 63 Mără¸sti Boulevard, 011464 Bucharest, Romania 9 10th Clinical Department—General Surgery, Discipline of General Surgery—“Dr. Carol Davila” Clinical Nephrology Hospital, Faculty of Medicine,“Carol Davila” University of Medicine and Pharmacy, 37 Dionisie Lupu Street, 020021 Bucharest, Romania; [petru.radu@umfcd.ro](petru.radu@umfcd.ro) 10 General Surgery Department,“Dr. Carol Davila” Clinical Nephrology Hospital, 4 Grivi¸tei Road, 010731 Bucharest, Romania 11 Pathology Department,“Bagdasar-Arseni” Clinical Emergency Hospital, 12 Berceni Road, 041915 Bucharest, Romania; [pie1956@yahoo.com](pie1956@yahoo.com) * [Correspondence: mircea.litescu@umfcd.ro](Correspondence: mircea.litescu@umfcd.ro) Abstract: Background and Objectives: The purpose of the study was to analyze the relationships among several clinical factors and also the tumor topography and surg

FAQs

What is the main purpose of the study?

To analyze how several clinical factors relate to tumor topography and the surgical strategies used in colorectal cancer patients.

How was the study designed and what time period was included?

It was an analytical, observational, retrospective study including patients admitted during 2020–2022 to an emergency surgical department who had colorectal cancer and received either emergency or elective surgery.

Which tumor locations and surgical procedures were most common?

The sigmoid colon was most frequent (19.60%), and the most frequent procedures were right hemicolectomy (21.6%) and rectosigmoid resection (20.9%).

What types of surgical outcomes were reported most often?

Anastomosis was performed in 49% of patients and an ostomy in 43.1%, while tumoral biopsy was done in 7.8%.

Sep 22, 2026

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