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Review of Colorectal Cancer Management at Srinagarind Hospital, Khon Kaen, Thailand
มะเร็งลำไส้ใหญ่ในโรงพยาบาลศรีนครินทร์ จ.ขอนแก่น
Aphinives P. (พจน์ชวิทย์ อภินิเวศ) 1, Bhudhisawasdi V. (วัชรพงศ์ พุทธิสวัสดิ์) 2, Khuntikeo N. (ณรงค์ ขันตีแก้ว) 3, Sripanaskul A. (อนัน ศรีพนัสกุล) 4, Chau-in S (ศิริ เชื้ออินทร์) 5, Rangsrikajee D (ธเนศ รังษีขจี) 6
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Objective: To review the management of colorectal cancer patient by the Department of Surgery, faculty of Medicine, Khon Kaen University.
Design: Retrospective, descriptive study.
Setting: Department of Surgery, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University.
Subjects: All patients who underwent colorectal cancer surgery between January 1993 and December 1997.
Data collection: From medical records, endoscopic notes, radiographic reports, operative notes and pathological reports.
Measurement: Descriptive statistics, 2-test and Kaplan-Meier survival techniques.
Results: Among the 136 patients reviewed, no asymptomatic patients were found. The male to female ratio was 1.34:1. The median age was 58 years (range 17 to 94). Emergency operations represented 10% of caes while elective operations made up the balance. Eight patients (6%) had Dukes Stage A lesions, 27% Stage B, 36% Stage C and 31% Stage D. Most patients (59%) had lesions of the sigmoid colon or lower. Nine patients (6.6%) died during the postoperative period. The overall 5-year survival rate following colorectal surgery was 32%
Conclusions: The management of colorectal cancer by the Department of Surgery was acceptable when compared to the postoperative mortality, complications and 5-year survival rate in other studies.
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