Análisis de resultados de cirugía del cáncer colorrectal en el período 2015- 2020 en un servicio universitario de cirugía general

Andrés Guastavino; Edward Delgado; Luciano Ramírez; Santiago Dardanelli; Patricia López; Carlos Barberousse; Luis Cazaban; Ricardo Robaina

doi:10.29193/RMU.38.1.5

Andrés Guastavino Universidad de la República, Facultad de Medicina, Hospital de Clínicas, Clínica Quirúrgica A, Asistente
Edward Delgado Universidad de la República, Facultad de Medicina, Hospital de Clínicas, Clínica Quirúrgica, Asistente
Luciano Ramírez Universidad de la República, Facultad de Medicina, Hospital de Clínicas, Clínica Quirúrgica, Asistente
Santiago Dardanelli Universidad de la República, Facultad de Medicina, Hospital de Clínicas, Clínica Quirúrgica A, Residente
Patricia López Universidad de la República, Facultad de Medicina, Hospital de Clínicas, Clínica Quirúrgica A, Prof. Adj.
Carlos Barberousse Universidad de la República, Facultad de Medicina, Hospital de Clínicas, Clínica Quirúrgica A, Prof. Agdo.
Luis Cazaban Universidad de la República, Facultad de Medicina, Hospital de Clínicas, Clínica Quirúrgica A, Prof. Director
Ricardo Robaina Universidad de la República, Facultad de Medicina, Métodos Cuantitativos, Ex Asistente

DOI: https://doi.org/10.29193/RMU.38.1.5

Keywords: COLORECTAL NEOPLASMS, LAPAROSCOPY, MORBIDITY AND MORTALITY, ANALYSIS OF RESULTS

Abstract

Introduction: colorectal cancer is frequent condition which evidences growing mortality rates in our country. A dramatic improvement in laparoscopic surgery is evident, and it also applies to colon cancer surgery. Analyzing the impact of this technique on oncologic radicality and survival is of the essence.
Objectives: to determine the clinical characteristics of patients with colorectal cancer in the Surgical Clinic A. To describe our experience in the laparoscopic and conventional approaches to colon cancer surgery. To prove whether quality standards are observed based on: conversion rates, short term results (morbimortality) and oncologic quality.
Method: descriptive, retrospective study in a five-year period (June 1, 2015 to June 1, 2020). Data was collected for all patients who underwent elective colon cancer surgery with curative purposes.
Results: 61 patients were recorded, 32 (52%) of which were men, with an average age of 63 years old. Thirty-two (52%) conventional and 29 (48%) laparoscopic surgeries were performed. The conversion rate was 17%. Morbimortality was 29.5%, being the suture failure rate 12.5%. 30-day mortality rate was 8%. Average surgical time and lymph node count was similar for both approaches.
Conclusions: laparoscopic approach of colorectal cancer is feasible and safe in the mid and long term, and the advantages of a minimally invasive surgery are worth considering. Our results are comparable to international quality standards.

References

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Analysis of results for colorectal cancer surgeries performed between 2015 and 2020 in a General Surgery University Hospital

Abstract

References

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