Author/Editor		Ivanecz, Arpad; Koželj, Miran; Krebs, Bojan; Gajzer, Borut; Brvar, Mirjana; Kavalar, Rajko
Title		Operacijsko zdravljenje raka debelega črevesa in danke na Oddelku za abdominalno kirurgijo Splošne bolnišnice Maribor leta 2000
Translated title		Surgical treatment of colorectal cancer at the Department of abdominal surgery in the General hospital Maribor in the year 2000
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 72, št. Suppl 1
Publication year		2003
Volume		str. I-61-4
Language		slo
Abstract		Background. To obtain information on the surgical treatment of patients with colorectal cancerat the Department of Abdominal Surgery, in the General Hospital Maribor, in the year 2000. Methods. Using a computerized protocol, we prospectivelly collect and registrate data about patients with colorectal cancer. Our data contains preoperative diagnostic investigations, intraoperative findings, pathohistological examinations after surgery, operative morbidity and mortality and alterations, found during follow up examinations. Results. In the year 2000, 135 patients (72 male and 63 female) with colorectal cancer underwent surgery. The average age was 66.4 years, spanning from 39 to 90 years. 15% were presented as emergencies. The general operability rate was 99%, the resectability rate was 92% and the portion of potentially curative resections was 69%. Cases were localised into right-sided (23%), transverse (2%), left-sided (32%) and rectal (43%). The stage distribution according to the TNM classification was as follows: Stage 0: 1 patient, Stage I: 17%, Stage II: 42%, Stage III: 19%, Stage IV: 22%, Spatients were undefined. The portion of different surgical procedures is presented in the text. The postoperative mortality rate was 6%, 7 patients died after urgent procedures and 1 died after elective surgery. The rate of surgical complications, which required reoperation was 4.4%. The rate of conservativelly treated surgical complications was 66%. The average hospital stay was 12.8 days and ranged from 6 to 36 days. Conclusions. The number of surgically treated patients with colorectal cancer in our institution is growing every year like in other departments in Slovenia and western countries. The rate of potentially curative resections can be expanded by early detection of the disease, as well as with more accurate pre- and intraoperative staging of the tumor, and consideration of the modern principles of management.
Summary		Izhodišča. Analiza operativne oskrbe bolnikov z rakom debelega črevesa in danke (RDČD) na Oddelku za abdominalno kirurgijo Splošne bolnišnice Maribor leta 2000. Metode. Z uporabo računalniškega protokola prospektivno beležimo podatke o bolnikih z rakom debelega črevesa in danke. Podatki vsebujejo predoperativno opravljene diagnostične preiskave, izvide med posegom, izvide histološkega pregleda, zaplete po operacijah in spremembe, ugotovljene med sledenjem. Rezultati. Leta 2000 smo operirali 135 bolnikov (72 moških, 63 žensk) z rakom debelega črevesa in danke. Povprečna starost bolnikov je bila 664 leta z razponom od 39 do 90 let. 25% je bilo nujnih operacij. Splošna operabilnost je bila 99%, resektabilnost 92% delež potencialno kurativnih resekcij pa je bil 69%. Glede lokalizacije smo tumorje razdelili v naslednje skupine: desni kolon (vključno s hepatalno fleksuro) 23%, kolon transverzum 2%, levi kolon (vključno z lienalno fleksuro) 32%, rektum 43%. Razporeditev po stadijih (S) TNM je bila, kot sledi. S0: 1 bolnik, SI: 17%, SII: 42%, SIII:. 19% SIV: 22%, nedoločljivi: 5 bolnikov. Predstavljen je delež različnih kirurških posegov. Pooperativna smrtnost je bila 6%, med umrlirni je bilo 7 bolnikov operiranih urgentno, 1 bolnik pa programsko. Kirurških zapletov, ki so zahtevali ponovni poseg, je bilo 4,4%. Kirurških zapletov, ki smo jih zdravili konzervativno, je bilo 6,6%. Povprečna ležalna doba je bila 12,8 dneva z najmanj 6 in največ 36 dnevi. Zaključki. Število operiranih zaradi raka debelega črevesa in danke v Mariboru podobno kot v Sloveniji in drugih zahodnoevropskih državah iz leta v leto narašča. Delež potencialno kurativnih resekcij lahko povečamo z zgodnejšim odkrivanjem bolezni ter z natančnejšo pred in medoperativno zamejitvijo tumorja ob upoštevanju sodobnih načel zdravljenja.
Descriptors		COLORECTAL NEOPLASMS NEOPLASM STAGING TREATMENT OUTCOME