Author/Editor		Krebs, Bojan; Koželj, Miran; Andromako, Nikica; Ivanecz, Arpad; Gajzer, Borut
Title		Operacije raka danke na Oddelku za andominalno kirurgijo Splošne bolnice Maribor v petletnem obdobju, 1996-2000
Translated title		Rectal cancer surgery at Department of abdominal surgery, General hospital Maribor between 1996 and 2000
Type		članek
Source		Med Razgl
Vol. and No.		Letnik 43, št. 1
Publication year		2004
Volume		str. 77-85
Language		slo
Abstract		Background. Rectal cancer is a highly treatable and often curable disease when localised. The prognosis is clearly related to the degree of tumour penetration through the bowel wall and presence or absence of nodal involvement. The incidence of colorectal cancer in Slovenia is among the highest in malignant diseases. It is the third most common cause of death due to malignant disease in Slovenia. The five-year survival rate is on an increase and was 33% between 1993 and 1997. Data from all patients operated for rectal cancer were collected from 1996. We used special forms for the preoperative, operative and postoperative part of treatment and a protocol for pathology reports. Most of our patients were followed-up after surgical treatment and their last visit to the hospital was on 1 September 2003. Data on deaths were also obtained from the Central Registry for Cancer in Ljubljana, Slovenia. Statistical analyses were performed using commercially available software - Statistica for Windows. Between the years 1996 and 2000, 285 patients were operated for rectal cancer. The most common operations were abdominoperineal excision, low anterior resection and resection of carcinoma with colostomy. 7% of the procedures involved emergency surgery because of malignant obstruction or bowel perforation. The total 5-year survival was 35%. The results of surgical treatment of rectal cancer between the years 1996 and 2000 are comparable to those of other studies performed in Slovenia, but inferior to those from Western European countries. We believe that the reasons for this are complex. Nowadays, better results are expected because of the use of new operative techniques (total mesorectal excision), new preoperative oncological therapy and highly trained surgeons specialising in colorectal surgery.
Summary		Kolorektalni rak ima v Sloveniji eno najvišjih incidenc. Je drugi najpogostejši malignom pri moških in tretji najpogostejši pri ženskah. Na zahodu in tudi pri nas je kolorektalni rak na drugem mestu po vzroku smrti zaradi malignega obolenja. Petletno preživetje v Sloveniji se zadnja leta povečuje in je znašalo v letih 1993-1997 33 odstotkov. Od 1.1.1996 se vsi podatki bolnikov s kolorektalnim rakom vnašajo v poseben protokol, ki je razdeljen na klinični del, operativni del in del, ki ga izpolni patolog. Zbrali smo vse protokole bolnikov z rakom danke in podatke obdelali po statističnih metodah. Pregledali smo tudi vse ambulantne liste operiranih bolnikov do 1. 9. 2003 in iz Registra za rak pridobili podatke o bolnikih, ki so umrli do konca leta 2000. Med leti 1996 in 2000 smo operirali 285 bolnikov. Najpogostejše operacije so bile abdominoperinealna ekscizija, nizka sprednja resekcija in diskontinuitetna operacija z resekcijo tumorja. Število kirurgov, ki so opravljali operacijo raka danke, je bilo 12. Skupno 5-letno preživetje ne glede na stadij je znašalo 35 odstotkov. Rezultati operativnega zdravljenja raka danke na našem oddelku so primerljivi s slovenskim povprečjem. Obdelali smo časovno področje, ko so se s kolorektalno kirurgijo ukvarjali vsi specialisti na našem oddelku. Z zmanjšanjem števila operaterjev in uvedbo novih operativnih tehnik pričakujemo boljše rezultate, ki bodo primerljivi z rezultati iz zahodnega sveta.
Descriptors		RECTAL NEOPLASMS NEOPLASM STAGING SURVIVAL ANALYSIS