Review of Colorectal Cancer Management at Srinagarind Hospital, Khon Kaen, Thailand
Abstract
Objective: To review the management of colorectal cancer patient by the Department of Surgery, faculty of Medicine, Khon Kaen University.
Design: Retrospective, descriptive study.
Setting: Department of Surgery, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University.
Subjects: All patients who underwent colorectal cancer surgery between January 1993 and December 1997.
Data collection: From medical records, endoscopic notes, radiographic reports, operative notes and pathological reports.
Measurement: Descriptive statistics, c2-test and Kaplan-Meier survival techniques.
Results: Among the 136 patients reviewed, no asymptomatic patients were found. The male to female ratio was 1.34:1. The median age was 58 years (range 17 to 94). Emergency operations represented 10% of caes while elective operations made up the balance. Eight patients (6%) had Duke’s Stage A lesions, 27% Stage B, 36% Stage C and 31% Stage D. Most patients (59%) had lesions of the sigmoid colon or lower. Nine patients (6.6%) died during the postoperative period. The overall 5-year survival rate following colorectal surgery was 32%
Conclusions: The management of colorectal cancer by the Department of Surgery was acceptable when compared to the postoperative mortality, complications and 5-year survival rate in other studies.
