外科ジャーナル

Perforated Colorectal Cancer. A Retrospective Analysis

Abstract

Mircea Variu

Introduction

The perforation of colorectal cancer (CRC) had always had a poor prognosis, regardless of whether the perforation evolved into forming an abscess or it was a free perforation into the abdominal cavity. The associated conditions as elder patients and different comorbidities seems to greatly reduce the chance of survival, as well as limit the therapeutic surgical options. AIM: The aim of this study is to review our surgical department data in order to analyze the outcomes after colorectal cancer perforation.

Material and Methods

A retrospective study was conducted the Department of Surgery of Prahova County Hospital. All the patients admitted for a CRC perforation were included in the study.

Results

During one year, 136 patients with CRC were admitted in our department. Only 7.35% (n=10) had a perforation. The median age was 70 years old. The men to women ratio was 6 to 4. The tumor was located on the right colon in 40% (n=4), on the left colon in 30% (n=3) and on the rectum in the other 30% (n=3). There were performed 4 right colectomies, 5 Hartmann resections and in one case, a colostomy. The postoperative mortality was null. A review of the literature data was also performed.

Conclusions

Perforated CRC is more frequent in elderly patients, with neglected cancers. The choice of surgical procedure has to be appropriate to the cancer site and patient’s comorbidities and general condition.