Almeraya OJ, Medina MJL, Méndez PJÁ, Arizpe FD, Alonso RJC, Márquez TS

Language: Spanish
References: 11
Page: 74-77
PDF size: 71.39 Kb.

ABSTRACT

Objective: To know the evolution, causes, frequency, and severity of the complications due to colorectal cancer surgery, with the aim of offering a timely diagnosis and treatment to our patients.
Setting: IMSS UMAE 25 Centro Médico del Noreste, Monterrey, Nuevo León, Mexico.
Design: Retrospective, descriptive, transversal. Statistical analysis: Percentages as measure of qualitative variables.
Patients and methods: Retrospective, descriptive, and transversal study of 262 patients subjected to open elective surgery due to colorectal cancer. These patients were referred by their medical units of the general hospital of the zone. Only those patients diagnosed by jeans of the histopathological report were included. Patients were followed for 5 years, from January 2003 to June 2007.
Results: The study comprised 262 patients, mean age of 56 year ±7, 123 (47%) were men and 139 (53%) were women. The most common site of the tumor was the rectosigmoid. Early complications were: hemorrhage (0.7%), seromas (15%), infection of surgical wound (15%), intra-abdominal abscess (6%), leaks or dehiscence of sutures (6%), abdominal sepsis (6%). Late complications were: stenosis (12%) and recurrence of the tumor (10%). Mortality was of 6% (15 patients).
Conclusions: The most common complications associated with colorectal cancer surgery are related with the performed intestinal anastomoses.

REFERENCES

1. Gallardo-Arzuaga RL, Martínez-Ávila C, Aguirre-Fernández R, Gallardo-Sánchez S, Vargas La O. Morbimortalidad en pacientes operados por cáncer de colon. Manzanillo 2002-2004. Arch Cir Gen Dig 2006 oct 2. Disponible en: http://www.cirugest.com/revista/2006/17/2006-10-02.htm.

2. Salmerón-Castro J, Franco-Marina F, Salazar-Martínez E, Lazcano-Ponce EC. Panorama epidemiológico de la mortalidad por cáncer en el Instituto Mexicano del Seguro Social: 1991-1995. Salud Pública Méx 1997; 39: 266-273.

3. Jalife-Montaño A. Cáncer de colon y recto. En: Asociación Mexicana de Cirugía General y Consejo Mexicano de Cirugía General, A.C. Tratado de cirugía general. México, DF. El Manual Moderno, 2003: 869-80.

4. Andreoni B, Chiappa A, Bertani E, Bellomi M, Orecchia R, Zampino M, et al. Surgical outcomes for colon and rectal cancer over a decade: results from a consecutive monocentric experience in 902 unselected patients. World J Surg Oncol 2007; 5: 73.

5. Basilico V, Griffa B, Castiglione N, Giacci F, Zanardo M, Griffa A. Anastomotic fistulas after colorectal resection for carcinoma: incidence and treatment in our recent experience. Minerva Chir 2006; 61: 373-80.

6. Gögenur I, Wittendorff HE, Colstrup H, Rosenberg J, Fischer A. Complications after treatment of colorectal cancer, with special focus on stomas, urological conditions and sexual dysfunction. Ugeskr Laeger 2005; 167: 4272-5.

7. Fujita S, Teramoto T, Watanabe M, Kodaira S, Kitajima M. Anastomotic leakage after colorectal cancer surgery: a risk factor for recurrence and poor prognosis. Jpn J Clin Oncol 1993; 23: 299-302.

8. Daly JM, Decosse JJ. Complications in surgery of the colon and rectum. Surg Clin North Am 1983; 63: 1215-31.

9. Houbiers JG, Van de Watering LM, Van de Velde CH, Brand A. Postoperative infection after colorectal surgery. Lancet 1996; 348: 1665-6.

10. Luna-Pérez P, Rodríguez-Ramírez SE. Complicaciones de la cirugía por cáncer colorrectal. En: Clínicas Quirúrgicas de la Academia Mexicana de Cirugía volumen I. Complicaciones en cirugía del aparato digestivo. México, DF. Intersistemas editores, 2002: 107-23.

11. Pulido-Muñoz MA, Rodríguez-Rocha F, Cuevas-Montes de Oca F, Zárate-Hernández E. Tratamiento quirúrgico del cáncer colorrectal en el HECMNR. Educ Invest Clín 2000; 1: 34-39.