• FerreiraFábio de OliveiraFO0000-0002-5340-2578Universidade de São Paulo, Clinical Hospital, Cancer Institute, Faculty of Medicine - São Paulo (SP), Brazil., Tibério Moura de Andrade Lima, Edivaldo Massazo Utiyama, Alexandre Ferreira Oliveira, Luiz Carlos Von Bahten, and RibeiroHeber Salvador de CastroHSC0000-0002-3412-7451A.C.Camargo Cancer Center, Department of Surgical Oncology - São Paulo (SP), Brazil..
• Universidade de São Paulo, Clinical Hospital, Cancer Institute, Faculty of Medicine - São Paulo (SP), Brazil.
• Rev Assoc Med Bras (1992). 2024 Jan 1; 70 (suppl 1): e2024S109e2024S109.

ObjectiveIn 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.ObjectiveThe objective was to discuss quality indicators and propose the creation of an urgent oncological surgery advanced life support course.MethodsReview of articles on the topic.ResultsGenerally, 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.ConclusionAmong 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.

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