Colorectal surgeries in public sector hospital in low socioeconomic coutry.our experience and lessons learned.
EAES Academy. Asif S. 07/05/22; 363001; P044
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Abstract: Objective:
To share our experience of the colorectal cancer surgeries in public sector hospitals.
Methods:
All cases from Jan 2018 to Dec 2021 were included. Patient demographics, area of presentation (Emergency, Elective), type of surgery with complications, adjuvant or neo adjuvant treatment were all recorded.
Results:
36 months. 125 cases. 46 colon cancers and 59 cases of rectal cancer. 101 patients operated. 4 undergoing neoadjuvant chemo radiation. 23 cases operated in emergency, 78 in elective setting. 42 laparoscopic (3 converted), 59 open. 2 re-explorations. Two mortalities. Both Ca colon presenting with intestinal obstruction. 20% of patients presented with obstruction and delayed presentation despite having visits to different hospitals where a diagnosis couldn’t be made. Only 31 cancer cases were discussed in our hospitals tumor board meeting.
Conclusion:
Its time to start a dedicated colorectal services in public sector hospital to improve patient referral and reduce delays in presentation and improving outcomes.
To share our experience of the colorectal cancer surgeries in public sector hospitals.
Methods:
All cases from Jan 2018 to Dec 2021 were included. Patient demographics, area of presentation (Emergency, Elective), type of surgery with complications, adjuvant or neo adjuvant treatment were all recorded.
Results:
36 months. 125 cases. 46 colon cancers and 59 cases of rectal cancer. 101 patients operated. 4 undergoing neoadjuvant chemo radiation. 23 cases operated in emergency, 78 in elective setting. 42 laparoscopic (3 converted), 59 open. 2 re-explorations. Two mortalities. Both Ca colon presenting with intestinal obstruction. 20% of patients presented with obstruction and delayed presentation despite having visits to different hospitals where a diagnosis couldn’t be made. Only 31 cancer cases were discussed in our hospitals tumor board meeting.
Conclusion:
Its time to start a dedicated colorectal services in public sector hospital to improve patient referral and reduce delays in presentation and improving outcomes.
Abstract: Objective:
To share our experience of the colorectal cancer surgeries in public sector hospitals.
Methods:
All cases from Jan 2018 to Dec 2021 were included. Patient demographics, area of presentation (Emergency, Elective), type of surgery with complications, adjuvant or neo adjuvant treatment were all recorded.
Results:
36 months. 125 cases. 46 colon cancers and 59 cases of rectal cancer. 101 patients operated. 4 undergoing neoadjuvant chemo radiation. 23 cases operated in emergency, 78 in elective setting. 42 laparoscopic (3 converted), 59 open. 2 re-explorations. Two mortalities. Both Ca colon presenting with intestinal obstruction. 20% of patients presented with obstruction and delayed presentation despite having visits to different hospitals where a diagnosis couldn’t be made. Only 31 cancer cases were discussed in our hospitals tumor board meeting.
Conclusion:
Its time to start a dedicated colorectal services in public sector hospital to improve patient referral and reduce delays in presentation and improving outcomes.
To share our experience of the colorectal cancer surgeries in public sector hospitals.
Methods:
All cases from Jan 2018 to Dec 2021 were included. Patient demographics, area of presentation (Emergency, Elective), type of surgery with complications, adjuvant or neo adjuvant treatment were all recorded.
Results:
36 months. 125 cases. 46 colon cancers and 59 cases of rectal cancer. 101 patients operated. 4 undergoing neoadjuvant chemo radiation. 23 cases operated in emergency, 78 in elective setting. 42 laparoscopic (3 converted), 59 open. 2 re-explorations. Two mortalities. Both Ca colon presenting with intestinal obstruction. 20% of patients presented with obstruction and delayed presentation despite having visits to different hospitals where a diagnosis couldn’t be made. Only 31 cancer cases were discussed in our hospitals tumor board meeting.
Conclusion:
Its time to start a dedicated colorectal services in public sector hospital to improve patient referral and reduce delays in presentation and improving outcomes.
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