SURGICAL MANAGEMENT ANALYSIS OF EMERGENCY COLORECTAL CANCER SURGICAL CASES 69 ORIGINAL ARTICLE SURGICAL MANAGEMENT ANALYSIS OF EMERGENCY COLORECTAL CANCER SURGICAL CASES G. Andrei 1,2 , B. Dumitriu 1,2 , M. Beuran 1,2 1 Department of Surgery, Clinical Emergency Hospital, Bucharest, Romania 2 University of Medicine and Pharmacy “Carol Davila”, Bucharest, Romania Corresponding author: Bogdan Dumitriu Phone no.:0040745085192 E-mail: b_dumitriu@yahoo.com Abstract We present an observational retrospective study which takes into consideration and analyzes the surgical management of emergency colorectal cancer cases. This analysis would contribute to a better understanding and for identification of those characteristics that are essential for reducing emergency colorectal cancer incidence and for improving the management of such cases. A number of 159 patients that underwent surgery for obstructive, bleeding or perforated colorectal cancer between January 2015 and September 2017 were selected to be included in the study. The results obtained by analyzing available data collected from the observation charts, surgery protocols, histopathological protocols were then compared with those in the literature. Keywords: colorectal cancer, emergency, surgery Introduction 14% to 37% of colon cancer and about 15% of rectal cancers are presenting in a emergency setting [1-3]. Specialized studies have revealed that emergency surgery in colorectal cancer is correlated with poorer outcomes [4-6]. Emergency surgery can be considered among independent predictors of 30-day mortality [7]. Obstruction is in first place as an indication for emergency surgery (50-80% of cases), perforation occurs in 10-18%, while bleeding is in the last place (4-11% of patients) [8-10]. Metabolic, cardiovascular, infectious or respiratory disorders can be associated with this pathology facts that causes increased morbidity and mortality [11-12]. Materials and Methods Our study includes 159 patients with colorectal cancer presented in an emergency setting between January 2015 and September 2017 in the General Surgery Clinic of the Emergency Hospital of Bucharest. The selection criteria of the patients which were included in the study were based on the type of emergency presentation to our clinic: occlusive, perforated or bleeding tumors, regardless of the time frame between admission and surgery time. Also, we included only patients in which the symptomatology had started a week prior to surgery at most. Statistical analysis was performed using Microsoft EXCEL 2010 (Analysis ToolPak), Xlstat 2018, and SPSS 11.0 for Windows. Pearson correlation coefficient r and r2coefficient were calculated for assessing crude correlations and interdependencies between