Publication:

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

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.