Emergency Surgical Management of Colorectal Cancer

This volume provides an overview of the current evidence-based medical and surgical practice in emergency conditions in colorectal cancer patients. It offers a multidisciplinary perspective, taking into account the specific characteristics of colorectal cancer patients, the necessary pre-operative assessment, the endoscopic and radiological management, and the surgical treatments. Each chapter is supplemented with tables, figures, key-point boxes, schematic representations, and decision-making trees that serve as easy-to-use tools to apply in the different scenarios requiring acute care. Recommendations for best practice and the main reference articles are included for each topic, as well as numerous illustrated clinical cases with cilnical and empirical evidence regarding the surgical management of colorectal cancer. Specific technical aspects of the different surgical interventions and approaches (e.g., open surgery, laparoscopy, and robotics) are also detailed.
This book is intended for residents and emergency surgeons, as well as all practictioners who treat colorectal cancer patients, such as gastroenterologists, oncologists, and radiologists.

Presents decision-making trees and recommendations for best practice at the end of each chapter to facilitate the individual and quick decisions required in emergency situations Includes key-point boxes for each chapter to highlight the most important evidence to bear in mind and to aid the learning process Provides several clinical case studies with abundant imaging, endoscopic, and surgical iconography to allow a concrete reflection on frequent and less frequent situations

Auteur

Nicola de'Angelis is a consultant general surgeon with special interest in minimally invasive and robotic digestive surgery. He graduated from the Medical School at the Università degli Studi di Parma (Italy) in 2005 and completed his residency in General Surgery at the Università degli Studi di Pisa (Italy). He trained at the Assistance Publique Hôpitaux de Paris, AP-HP (France), King's College Hospital in London (UK), and at the CHUM St. Luc of Montreal (Canada). Since 2012, he has been working at the Henri Mondor University Hospital of Creteil, France. Nicola de'Angelis is associate professor of digestive surgery at the University of Paris XII, UPEC. He is a member of the faculty of the European Academy of Robotic Colorectal Surgery (EARCS) and director of the World Society of Emergency Surgery (WSES) Fellowship in "Gastrointestinal Emergencies and Robotic Surgery". Salomone Di Saverio is a consultant Colorectal and Emergency surgeon who is working from January 2018 in the Colorectal Unit of Addenbrookes Hospital, Cambridge University Hospital NHS Trust in UK, performing both elective and Emergency general surgery and colorectal cancer procedures. He was previously from January 2010 to December 2017 a Team Leader Consultant in Acute Care andTrauma Surgery and in General Surgery; ha was Clinical Head of Laparoscopy in Trauma Surgery at the Trauma Surgery Unit, Trauma Center Maggiore Hospital Bologna from 2015; he has been Vice-Chairman of the Trauma Surgery Unit from 2013 to 2017. He has performed more than 4500 major surgical procedures, mainly as first operator, with more than 1500 procedures done laparoscopically/Minimally invasive surgery. He has described and published several original or innovative surgical techniques in both open and laparoscopic surgery in major surgical journals. He has been grated full professorship status in General Surgery by the Italian Ministry of University and Scientific Research in April 2017and is a fellow of both the American College of Surgeons and Royal College of Surgeons of England. He is member of the 2018 ESCP Guidelines committee for management of Acute Diverticulitis in the group 6 of experts for Technical aspects

Francesco Brunetti is a general surgeon specialized in digestive and emergency surgery. He graduated from the Medical School at the Università degli Studi di Napoli "Federico II" (Italy) and trained at the Assistance Publique Hôpitaux de Paris, AP-HP (France). He is currently head of the gastrointestinal surgery program at the Henri Mondor University Hospital of Creteil, France. He is member of the editorial board of the World Society of Emergency Surgery .

Contenu

1. Colorectal Cancer Research: A State of the Art.- 2. Epidemiology of colorectal cancer: incidence, survival and risk factors.- 3. Socioeconomic impact of emergency therapies for colorectal cancer.- 4. Acute care and surgical risk assessment.- 5. Complicated Colorectal Cancer: Role of Imaging.- 6. Principles of colonoscopy for colorectal cancer emergency - Colonoscopy protocols in emergency settings.- 7. Management of colonoscopy complications.- 8. Emergencies related to primary colon cancer: multidisciplinary management of colon obstruction, perforation and bleeding due to colon cancer in absence of metastatic disease.- 9. Emergencies related to primary rectal cancer.- 10. Peritoneal Carcinomatosis and other emergencies not related to primary colorectal cancer.- 11. Emergencies related to advanced metastatic colorectal cancer.- 12. Multidisciplinary management of post-operative complications.- 13. Enhanced Recovery After Emergency Colorectal Surgery.- 14. Medical and surgical management of colorectal cancer patients receiving immunotherapy.- 15. Medical and surgical management of colorectal cancer patients presenting with hemostatic disorders.- 16. Medical and Surgical Management of Colorectal Cancer Emergencies in Elderly Patients.- 17. Colorectal cancer surgical emergency in transplanted patients.- 18. Colorectal cancer surgical emergencies in patients with inflammatory bowel disease.- 19. Emergency surgical management in rectal cancer patients following radiotherapy.- 20. Pathological analyses of colorectal cancer.- 21. Post-operative oncologic management of colorectal cancer emergencies.- 22. Minimally invasive surgery for colorectal cancer in the emergency setting.- 23. Indications for open abdomen in colorectal cancer emergency.- 24. Difficult decisions in colorectal cancer in emergency settings.- 25. Future Perspectives in Colorectal Cancer Treatments.- 26. Training curriculum for colorectal cancer surgery.- 27. Emergency colorectal surgery checklists and technical considerations .- 28. Clinical cases on colorectal cancer emergency.
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