engleski

Changes in surgical treatment of colorectal cancer in General County Hospital Požega

Background. The advent of new diagnostic and therapy options has radically changed the treatment of malignant diseases. Surgery of colorectal cancer has also evolved, even in some small county hospitals. This retrospective analysis was performed in order to clarify changing patterns of colorectal cancer surgery in our department. Methods. We have studied 543 surgically treated patients with colorectal cancer in the past 20 years. Analyzed variables were: age at the surgical moment, sex, localisation of the tumor and type of surgical procedure. Patients were divided into two groups : the first (patients operated from 1990 to 1999) and the second (patients from 2000 to 2009). Results. The total number of cases has risen from 208 in the first group to 335 in the second group. no significant differences were observed in sex, age or tumor site in two groups. However, significant difference occured when the types of operatinos were reviewed. There was a mild increase in number of all types of primary segmental resection with anastomosis, but number of anterior resection of rectum increased beyond expectations (approximately 161%). In contrary, the number of palliative operations for colorectal cancer markedly declined (for about 55%) in the second group. Conclusions. We conclude that early diagnosis and modern surgical devices have a positive impact on the type of colorectal surgery procedure selection.

colorectal surgery

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