{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T23:16:21Z","timestamp":1789859781805,"version":"4.0.1"},"reference-count":23,"publisher":"FapUNIFESP (SciELO)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Col. Bras. Cir."],"abstract":"<jats:p>ABSTRACT  Objective:  to study the epidemiological profile of patients with colorectal cancer operated on an emergency basis at the Bonsucesso Federal Hospital.  Methods:  this is a retrospective study of patients operated between January 1999 and December 2012. We analyzed the following variables: age, gender, clinical data, TMN staging, tumor location, survival and types of surgery.  Results:  we evaluated 130 patients in the study period. The most frequent clinical picture was intestinal obstruction, in 78% of cases. Intestinal perforation was the surgical indication in 15%. The majority (39%) of the patients had advanced TNM staging, compared with 27% in the initial stage. There were 39 deaths (30%) documented in the period. The most common tumor site was the sigmoid colon (51%), followed by the ascending colon (16%). The curative intent was performed in most cases, with adjuvant treatment being performed in 40% of the patients. Distant metastases were found in 42% of the patients and 10% had documented disease recurrence. Disease-free survival at two and five years was 69% and 41%, respectively.  Conclusion:  there was a high mortality rate and a low survival rate in colorectal cancer patients operated on urgently.<\/jats:p>","DOI":"10.1590\/0100-69912017005007","type":"journal-article","created":{"date-parts":[[2017,10,4]],"date-time":"2017-10-04T19:34:39Z","timestamp":1507145679000},"page":"465-470","source":"Crossref","is-referenced-by-count":12,"title":["Colon cancer surgery in patients operated on an emergency basis"],"prefix":"10.1590","volume":"44","author":[{"given":"Rodrigo Felippe","family":"Ramos","sequence":"first","affiliation":[{"name":"Bonsucesso Federal Hospital,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucas Carvalho Santos","family":"dos-Reis","sequence":"additional","affiliation":[{"name":"Est\u00e1cio de S\u00e1 University,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beatriz Esteves Borgeth","family":"Teixeira","sequence":"additional","affiliation":[{"name":"Est\u00e1cio de S\u00e1 University,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Igor Maroso","family":"Andrade","sequence":"additional","affiliation":[{"name":"Est\u00e1cio de S\u00e1 University,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaqueline Suelen","family":"Sulzbach","sequence":"additional","affiliation":[{"name":"Est\u00e1cio de S\u00e1 University,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ricardo Ary","family":"Leal","sequence":"additional","affiliation":[{"name":"Bonsucesso Federal Hospital,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2017,10]]},"reference":[{"issue":"5","key":"ref1","doi-asserted-by":"crossref","first-page":"E359","DOI":"10.1002\/ijc.29210","article-title":"Cancer incidence and mortality worldwide sources, methods and major patterns in GLOBOCAN 2012","volume":"136","author":"Ferlay J","year":"2015","journal-title":"Int J Cancer"},{"issue":"7","key":"ref2","doi-asserted-by":"crossref","first-page":"733","DOI":"10.1111\/j.1463-1318.2008.01613.x","article-title":"Short term outcome after emergency and elective surgery for colon cancer","volume":"11","author":"Sjo OH","year":"2009","journal-title":"Colorectal Dis"},{"issue":"3","key":"ref3","doi-asserted-by":"crossref","first-page":"278","DOI":"10.1001\/archsurg.140.3.278","article-title":"Postoperative mortality and morbidity in French patients undergoing colorectal surgery results of a prospective multicenter study","volume":"140","author":"Alves A","year":"2005","journal-title":"Arch Surg"},{"issue":"5","key":"ref4","doi-asserted-by":"crossref","first-page":"605","DOI":"10.1002\/bjs.4456","article-title":"Emergency presentation of colorectal cancer is associated with poor 5-year survival","volume":"91","author":"McArdle CS","year":"2004","journal-title":"Br J Surg"},{"issue":"3","key":"ref5","doi-asserted-by":"crossref","first-page":"376","DOI":"10.1016\/j.amjsurg.2005.01.045","article-title":"Presentation, treatment, and multivariate analysis of risk factors for obstructive and perforative colorectal carcinoma","volume":"190","author":"Alvarez JA","year":"2005","journal-title":"Am J Surg"},{"issue":"1","key":"ref6","doi-asserted-by":"crossref","first-page":"e3","DOI":"10.1016\/j.jviscsurg.2011.11.003","article-title":"Emergency management of acute colonic cancer obstruction","volume":"149","author":"Gainant A","year":"2012","journal-title":"J Visc Surg"},{"issue":"5","key":"ref7","first-page":"331","article-title":"[Surgical management of obstructed colonic cancer]","volume":"130","author":"Rault A","year":"2005","journal-title":"Ann Chir"},{"issue":"2","key":"ref8","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1016\/j.jcol.2014.03.001","article-title":"Emergency surgery for complicated colorectal cancer in central Brazil","volume":"34","author":"Santos AC","year":"2014","journal-title":"J Coloproctol. (Rio J.)"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1186\/1477-7819-6-90","article-title":"Results of emergency Hartmann's operation for obstructive or perforated left-sided colorectal cancer","volume":"6","author":"Charbonnet P","year":"2008","journal-title":"World J Surg Oncol"},{"issue":"5","key":"ref10","doi-asserted-by":"crossref","first-page":"454","DOI":"10.1111\/j.1463-1318.2005.00862.x","article-title":"Feasibility and morbidity of reversal of Hartmann's","volume":"7","author":"Banerjee S","year":"2005","journal-title":"Colorectal Dis"},{"key":"ref11","series-title":"Coordena\u00e7\u00e3o de Preven\u00e7\u00e3o e Vigil\u00e2ncia. Estimativa 2016: incid\u00eancia de c\u00e2ncer no Brasil","year":"2016"},{"issue":"3","key":"ref12","first-page":"348","article-title":"Surgical treatment of colon cancer Colentina surgical clinic experience","volume":"5","author":"Mastalier B","year":"2012","journal-title":"J Med Life"},{"issue":"20","key":"ref13","doi-asserted-by":"crossref","first-page":"4946","DOI":"10.3748\/wjg.v22.i20.4946","article-title":"Colorectal cancer screening in countries of European Council outside of the EU-28","volume":"22","author":"Altobelli E","year":"2016","journal-title":"World J Gastroenterol"},{"issue":"4","key":"ref14","doi-asserted-by":"crossref","first-page":"370","DOI":"10.1067\/msy.2000.104674","article-title":"Obstruction and perforation in colorectal adenocarcinoma an analysis of prognosis and current trends","volume":"127","author":"Chen HS","year":"2000","journal-title":"Surgery"},{"issue":"4","key":"ref15","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1001\/archsurg.1981.01380160005001","article-title":"Penetrating, obstructing, and perforating carcinoma of the colon and rectum","volume":"116","author":"Kelley Jr WE","year":"1981","journal-title":"Arch Surg"},{"issue":"4","key":"ref16","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1016\/j.amjsurg.2005.01.009","article-title":"A prospective study of outcomes of emergency and elective surgeries for complicated colonic cancer","volume":"189","author":"Biondo S","year":"2005","journal-title":"Am J Surg"},{"issue":"2-3","key":"ref17","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1016\/j.suronc.2004.08.002","article-title":"Colorectal cancer presenting as surgical emergencies","volume":"13","author":"Cuffy M","year":"2004","journal-title":"Surg Oncol"},{"issue":"5","key":"ref18","doi-asserted-by":"crossref","first-page":"480","DOI":"10.1007\/BF02148847","article-title":"Postoperative morbidity and mortality following resection of the colon and rectum for cancer","volume":"38","author":"Bokey EL","year":"1995","journal-title":"Dis Colon Rectum"},{"issue":"3","key":"ref19","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1308\/003588408X285757","article-title":"Emergency management of malignant acute left-sided colonic obstruction","volume":"90","author":"Trompetas V","year":"2008","journal-title":"Ann R Coll Surg Engl"},{"issue":"4","key":"ref20","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1007\/s00595-004-2931-1","article-title":"Surgical options for malignant left-sided colonic obstruction","volume":"35","author":"Villar JM","year":"2005","journal-title":"Surg Today"},{"issue":"3","key":"ref21","doi-asserted-by":"crossref","first-page":"262","DOI":"10.1046\/j.1463-1318.2003.00432.x","article-title":"Safety of primary anastomosis in emergency colo-rectal surgery","volume":"5","author":"Zorcolo L","year":"2003","journal-title":"Colorectal Dis"},{"issue":"7","key":"ref22","doi-asserted-by":"crossref","first-page":"306","DOI":"10.1007\/BF02710270","article-title":"Hartmann's procedure for obstructive carcinoma of the left colon and rectum a comparative study with one-stage surgery","volume":"7","author":"Dur\u00e1n Gim\u00e9nez-Rico H","year":"2005","journal-title":"Clin Transl Oncol"},{"issue":"8","key":"ref23","first-page":"910","article-title":"[Spontaneous perforation of the large intestine. Resection with primary anastomosis or staged (Hartmann) procedure?]","volume":"72","author":"Armbruster C","year":"2001","journal-title":"Chirurg"}],"container-title":["Revista do Col\u00e9gio Brasileiro de Cirurgi\u00f5es"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/pdf\/rcbc\/v44n5\/1809-4546-rcbc-44-05-00465.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2018,3,21]],"date-time":"2018-03-21T15:02:59Z","timestamp":1521644579000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0100-69912017000500465&lng=en&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,10]]},"references-count":23,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2017,10]]}},"alternative-id":["S0100-69912017000500465"],"URL":"https:\/\/doi.org\/10.1590\/0100-69912017005007","relation":{},"ISSN":["1809-4546","0100-6991"],"issn-type":[{"value":"1809-4546","type":"electronic"},{"value":"0100-6991","type":"print"}],"subject":[],"published":{"date-parts":[[2017,10]]}}}