Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2020
Voluntary perioperative colorectal cancer registry from Kerala-An initial overview.
СтатьяНазвание и аннотация: Перевод в очереди
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Krishnan Prasad, Kurumboor Prakash, Varma Deepak, Mallick Shweta, Vayoth Sudheer Othiyil, Gopalakrishnan Unnikrishnan, Hariharan Ramesh, Subramaniaiyer Mahesh, Aikot Sylesh, Nambiar Rajesh, Sahadevan Sajeesh, Rajan Ramesh, Natesh Bonny, Sadasivan Sindhu Radha, Bhaskaran Venugopal, Usman Shabeerali Thudikkodan, Leela Arunkumar Madhavan, Sadashiva Sathchith, John Joshy, Kamalesh Naduthottum Palaniswami, Abraham Bejoy, Swaminathan Peethambaran Muttikulangara, Philip Sujith, Subash Raveendran, Sreekumar Vipin Iyyani
Аннотация
BACKGROUND: Although colorectal cancer (CRC) may not be uncommon in India, accurate data regarding its demographics and surgical outcomes is sparse.
METHODS: With an aim to assess demographics and perioperative outcomes of CRC in Kerala, all members of Association of Surgical Gastroenterologists of Kerala (ASGK) were invited to participate in a registry. Data of operated cases of CRC were entered on a web-based questionnaire by participating members from January 2016. Analysis of accrued data until March 2018 was performed.
RESULTS: From 25 gastrointestinal surgical centers in Kerala, 15 ASGK member hospitals contributed 1018 CRC cases to the database (M:F 621:397; median age-63.5 years [15-95 years]). Rectum (39.88%) and rectosigmoid (20.33%) cancers comprised the majority of the patients. Among them, preoperative bowel preparation was given to 37.68%, minimally invasive surgery (MIS) was performed in 73%, covering stoma in 47% and had an overall leak rate of 3.58%. In colonic malignancies, MIS was performed in 56.74%, covering stoma created in 13% and had a leak rate of 2.71%. Of 406 patients with rectal cancers, neo-adjuvant radiotherapy/chemoradiotherapy was given to 51.23%. The mean hospital stay for MIS in both rectal and colonic cancer patients was significantly shorter than open approach (10.46 ± 5.08 vs. 12.26 ± 6.03 days; p = 0.001and 10.29 ± 4.58 vs. 12.46 ± 6.014 days; p = <0.001). Mortality occurred in 2.2% patients.
CONCLUSION: A voluntary non-funded registry for CRC surgery was successfully created. Initial data suggest that MIS was performed in majority, which was associated with shorter hospital stay than open approach. Overall mortality and leak rate appeared to be low.
METHODS: With an aim to assess demographics and perioperative outcomes of CRC in Kerala, all members of Association of Surgical Gastroenterologists of Kerala (ASGK) were invited to participate in a registry. Data of operated cases of CRC were entered on a web-based questionnaire by participating members from January 2016. Analysis of accrued data until March 2018 was performed.
RESULTS: From 25 gastrointestinal surgical centers in Kerala, 15 ASGK member hospitals contributed 1018 CRC cases to the database (M:F 621:397; median age-63.5 years [15-95 years]). Rectum (39.88%) and rectosigmoid (20.33%) cancers comprised the majority of the patients. Among them, preoperative bowel preparation was given to 37.68%, minimally invasive surgery (MIS) was performed in 73%, covering stoma in 47% and had an overall leak rate of 3.58%. In colonic malignancies, MIS was performed in 56.74%, covering stoma created in 13% and had a leak rate of 2.71%. Of 406 patients with rectal cancers, neo-adjuvant radiotherapy/chemoradiotherapy was given to 51.23%. The mean hospital stay for MIS in both rectal and colonic cancer patients was significantly shorter than open approach (10.46 ± 5.08 vs. 12.26 ± 6.03 days; p = 0.001and 10.29 ± 4.58 vs. 12.46 ± 6.014 days; p = <0.001). Mortality occurred in 2.2% patients.
CONCLUSION: A voluntary non-funded registry for CRC surgery was successfully created. Initial data suggest that MIS was performed in majority, which was associated with shorter hospital stay than open approach. Overall mortality and leak rate appeared to be low.
Предметные рубрики MeSH
AdolescentAdultAgedAged, 80 and overAnastomotic LeakCatharticsChemoradiotherapy, AdjuvantColorectal NeoplasmsDigestive System Surgical ProceduresFemaleGastroenterologistsHumansIndiaLength of StayMaleMiddle AgedMinimally Invasive Surgical ProceduresPreoperative CareRegistriesSurveys and QuestionnairesTime FactorsTreatment OutcomeYoung Adult