Quality of emergency oncological surgery: time for advanced oncological life support.

Autor:	Ferreira FO; Universidade de São Paulo, Clinical Hospital, Cancer Institute, Faculty of Medicine - São Paulo (SP), Brazil., Lima TMA; Universidade de São Paulo, Clinical Hospital, Cancer Institute, Faculty of Medicine, Surgical Clinic Division - São Paulo (SP), Brazil., Utiyama EM; Universidade de São Paulo, Faculty of Medicine, Department of Surgery, Surgical Clinic Division - São Paulo (SP), Brazil., Oliveira AF; Federal University of Juiz de Fora, School of Medicine, Faculty of Medicine, Departament of Surgery - Juiz de Fora (MG), Brazil., Von Bahten LC; Pontifical Catholic University of Paraná, Clinical Surgery - Curitiba (PR), Brazil.; Federal University of Paraná, Department of Surgery - Curitiba (PR), Brazil.; Pontifical Catholic University of Paraná, Cajuru University Hospital, Department of Surgery - Curitiba (PR), Brazil., Ribeiro HSC; A.C.Camargo Cancer Center, Department of Surgical Oncology - São Paulo (SP), Brazil.
Jazyk:	angličtina
Zdroj:	Revista da Associacao Medica Brasileira (1992) [Rev Assoc Med Bras (1992)] 2024 Jun 07; Vol. 70 (suppl 1), pp. e2024S109. Date of Electronic Publication: 2024 Jun 07 (Print Publication: 2024).
DOI:	10.1590/1806-9282.2024S109
Abstrakt:	Objective: In the emergency care of cancer patients, in addition to cancer-related factors, two aspects influence the outcome: (1) where the patient is treated and (2) who will perform the surgery. In Brazil, a significant proportion of patients with surgical oncological emergencies will be operated on in general hospitals by surgeons without training in oncological surgery. Objective: The objective was to discuss quality indicators and propose the creation of an urgent oncological surgery advanced life support course. Methods: Review of articles on the topic. Results: Generally, nonelective resections are associated with higher rates of morbidity and mortality, as well as lower rates of cancer-specific survival. In comparison to elective procedures, the reduced number of harvested lymph nodes and the higher rate of positive margins suggest a compromised degree of radicality in the emergency scenario. Conclusion: Among modifiable factors is the training of the emergency surgeon. Enhancing the practice of oncological surgery in emergency settings constitutes a formidable undertaking that entails collaboration across various medical specialties and warrants endorsement and support from medical societies and educational institutions. It is time to establish a national registry encompassing oncological emergencies, develop quality indicators tailored to the national context, and foster the establishment of specialized training programs aimed at enhancing the proficiency of physicians serving in emergency services catering to cancer patients.
Databáze:	MEDLINE
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