González GL, Estepa PJL, Feliú RJA, Santana PT, Estepa RJL

Language: Spanish
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Page: 561-571
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ABSTRACT

Foundation: colorectal cancer is the most frequent among the neoplasias of the digestive tract. It is the second cause of death of oncologic etiology.
Objective: to characterize patients operated of colorectal cancer.
Method: study of serie of cases realized at the Cienfuegos Hospital from january 2014 to December 2016. Th variables analized were: age, sex, clinical manifestations, surgical technique used according to the tumor location, complications in the postoperative stage.
Results: patients between 60 and 69 and 70 and 79 predominated , mainly male sex. Toxic habits and family history of cancer also prevailed. Tumors were more frequent in the rectum (higher rectum). In the colon tumors located o n the right were more frequent specifically in the cecum. The most usual colonic manifestations were bowel movement changes, cutaneous and mucus paleness and general syndrome, while in the rectum it predominated passing phlegm and blood through the anus. The most frequently used surgical technique was anterior Dixon reception for rectum and sigmoid and right hemi-colectomy for the right colon. The most frequent histological tumor type was adenocarcinoma and from them the moderated differentiated and and the tumoral stage was IIA, for tumors in the colon so as in the rectum. There were more radical than palliative surgeries and there were more planned surgeries than emergency ones. The main complications presented were infections on the operated site and stercoral fistulas.
Conclusion: colorectal cancer is more frequently found in the 6th and 7th life decades, associated with toxic habits and familial pathological antecedents of this type of cancer. An early and timely diagnosis allows and adequate staging and the use of more conservative techniques.