Operative morbidity and mortality for colorectal cancer: 10-years’ experience

H. Viqar Ahmad; Zubair Afzal Khan

doi:10.18203/2349-2902.isj20193646

Authors

H. Viqar Ahmad Department of General Surgery, Sher-i-Kashmir Institute of Medical Sciences, Soura, Srinagar, Jammu and Kashmir, India
Zubair Afzal Khan Senior Consultant Surgeon, Government District Hospital, Rajouri, Jammu and Kashmir, India

DOI:

https://doi.org/10.18203/2349-2902.isj20193646

Keywords:

Morbidity, Mortality, Colorectal cancer, Operative mortality rate

Abstract

Background: Operative outcomes for patients with colorectal cancer are heavily dependent on the quality of surgery, the quality of pre-operative staging and treatment selection. The objective of this study was to study the operative morbidity and mortality in patients with colorectal cancer.

Methods: The records of patients, with histologically proven colon or rectal cancer and underwent operative procedure, have been prospectively documented. A detailed analysis was made of patients who had a hospital stay of more than 15 days and who died within 30 days of surgical procedure.

Results: 311 patients of colorectal cancer were operated. 19 patients died within 30 days of operation, an overall OMR of 6.10%. 50.80% of patients had operative morbidity events. OMR and morbidity was higher in patients undergoing emergency surgical procedure, in elderly patients, in females, patients with poor pre-operative ASA grading and in patients with advanced stages tumour.

Conclusions: Adoption of various modalities of have to be considered in perspective of the age of the patient, pre-operative performance status, the type, nature and urgency of operation and pathological stage of the disease which have a bearing on the operative morbidity and mortality.

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