SURGICAL TREATMENT OF PATIENTS WITH COLON CANCER IN DEPARTMENT FOR ABDOMINAL AND GENERAL SURGERY AT MARIBOR GENERAL HOSPITAL IN YEARS 1998–2001
<p>Background. The aim of this paper is to present and assess a surgical treatment of patients with colon cancer.</p><p>Methods. All patients with colon cancer, who were operated in years 1998–2001, were included in the analysis. We have collected data including patients age, local...
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Slovenian Medical Association
2004-07-01
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| Series: | Zdravniški Vestnik |
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| Online Access: | http://vestnik.szd.si/index.php/ZdravVest/article/view/2344 |
| _version_ | 1819021079908188160 |
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| author | Borut Gajzer Miran Koželj Bojan Krebs |
| author_facet | Borut Gajzer Miran Koželj Bojan Krebs |
| author_sort | Borut Gajzer |
| collection | DOAJ |
| description | <p>Background. The aim of this paper is to present and assess a surgical treatment of patients with colon cancer.</p><p>Methods. All patients with colon cancer, who were operated in years 1998–2001, were included in the analysis. We have collected data including patients age, localization and stage of cancer, types of preformed procedures, postoperative mortality, disease recurrence and survival of the patients.</p><p>Results. We have operated on 308 patients with histological evidence of colon cancer in abovementioned period. The average patients age was 66.5 years (SD = 11.1; 95% CI: 44.3– 88.7). Primary tumor was most commonly (36%) located in sigmoid colon. UICC stages were as follows: stage I 34 patients, 11%; stage II 141, 46%; stage III 64, 21%; stage IV 69, 22%. We have performed 287 resections of colon (93% resectabillity), of these 214 (75%) were potentially curative R0 resections. Share of urgent procedures was 21%. In the postoperative period 22 patients (7%) have died. Postoperative mortality was significantly higher by urgent (19%) compared to scheduled procedures (4%) ( χ 2 = 16; df = 1; p = 0,005). In the observed time 22% of patients developed recurrent cancer. Mean survival rate of our patients was 1274 days or 3.5 years (SD = 191; 95% CI: 900–1648). Calculated overall five years survival rate was 45%.</p><p>Conclusions. Planned and registered surgical treatment of patients with colon cancer, surgical specialization in colon surgery and adjuvant oncological treatment have shown the same incentive results, reflected in increased survival rate.<br /><br /></p> |
| first_indexed | 2024-12-21T04:01:24Z |
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| institution | Directory Open Access Journal |
| issn | 1318-0347 1581-0224 |
| language | English |
| last_indexed | 2024-12-21T04:01:24Z |
| publishDate | 2004-07-01 |
| publisher | Slovenian Medical Association |
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| spelling | doaj.art-4ff3b307c4794f40848262bd08866def2022-12-21T19:16:42ZengSlovenian Medical AssociationZdravniški Vestnik1318-03471581-02242004-07-01737-81817SURGICAL TREATMENT OF PATIENTS WITH COLON CANCER IN DEPARTMENT FOR ABDOMINAL AND GENERAL SURGERY AT MARIBOR GENERAL HOSPITAL IN YEARS 1998–2001Borut Gajzer0Miran Koželj1Bojan Krebs2Oddelek za abdominalno in splošno kirurgijo Splošna bolnišnica Maribor Ljubljanska 5 2000 MariborOddelek za abdominalno in splošno kirurgijo Splošna bolnišnica Maribor Ljubljanska 5 2000 MariborOddelek za abdominalno in splošno kirurgijo Splošna bolnišnica Maribor Ljubljanska 5 2000 Maribor<p>Background. The aim of this paper is to present and assess a surgical treatment of patients with colon cancer.</p><p>Methods. All patients with colon cancer, who were operated in years 1998–2001, were included in the analysis. We have collected data including patients age, localization and stage of cancer, types of preformed procedures, postoperative mortality, disease recurrence and survival of the patients.</p><p>Results. We have operated on 308 patients with histological evidence of colon cancer in abovementioned period. The average patients age was 66.5 years (SD = 11.1; 95% CI: 44.3– 88.7). Primary tumor was most commonly (36%) located in sigmoid colon. UICC stages were as follows: stage I 34 patients, 11%; stage II 141, 46%; stage III 64, 21%; stage IV 69, 22%. We have performed 287 resections of colon (93% resectabillity), of these 214 (75%) were potentially curative R0 resections. Share of urgent procedures was 21%. In the postoperative period 22 patients (7%) have died. Postoperative mortality was significantly higher by urgent (19%) compared to scheduled procedures (4%) ( χ 2 = 16; df = 1; p = 0,005). In the observed time 22% of patients developed recurrent cancer. Mean survival rate of our patients was 1274 days or 3.5 years (SD = 191; 95% CI: 900–1648). Calculated overall five years survival rate was 45%.</p><p>Conclusions. Planned and registered surgical treatment of patients with colon cancer, surgical specialization in colon surgery and adjuvant oncological treatment have shown the same incentive results, reflected in increased survival rate.<br /><br /></p>http://vestnik.szd.si/index.php/ZdravVest/article/view/2344colon cancersurgical treatmentpostoperative mortalitysurvival |
| spellingShingle | Borut Gajzer Miran Koželj Bojan Krebs SURGICAL TREATMENT OF PATIENTS WITH COLON CANCER IN DEPARTMENT FOR ABDOMINAL AND GENERAL SURGERY AT MARIBOR GENERAL HOSPITAL IN YEARS 1998–2001 Zdravniški Vestnik colon cancer surgical treatment postoperative mortality survival |
| title | SURGICAL TREATMENT OF PATIENTS WITH COLON CANCER IN DEPARTMENT FOR ABDOMINAL AND GENERAL SURGERY AT MARIBOR GENERAL HOSPITAL IN YEARS 1998–2001 |
| title_full | SURGICAL TREATMENT OF PATIENTS WITH COLON CANCER IN DEPARTMENT FOR ABDOMINAL AND GENERAL SURGERY AT MARIBOR GENERAL HOSPITAL IN YEARS 1998–2001 |
| title_fullStr | SURGICAL TREATMENT OF PATIENTS WITH COLON CANCER IN DEPARTMENT FOR ABDOMINAL AND GENERAL SURGERY AT MARIBOR GENERAL HOSPITAL IN YEARS 1998–2001 |
| title_full_unstemmed | SURGICAL TREATMENT OF PATIENTS WITH COLON CANCER IN DEPARTMENT FOR ABDOMINAL AND GENERAL SURGERY AT MARIBOR GENERAL HOSPITAL IN YEARS 1998–2001 |
| title_short | SURGICAL TREATMENT OF PATIENTS WITH COLON CANCER IN DEPARTMENT FOR ABDOMINAL AND GENERAL SURGERY AT MARIBOR GENERAL HOSPITAL IN YEARS 1998–2001 |
| title_sort | surgical treatment of patients with colon cancer in department for abdominal and general surgery at maribor general hospital in years 1998 2001 |
| topic | colon cancer surgical treatment postoperative mortality survival |
| url | http://vestnik.szd.si/index.php/ZdravVest/article/view/2344 |
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