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Cirugía paraguaya

On-line version ISSN 2307-0420

Abstract

CUEVAS, Rolando. CHARACTERIZATION OF COLON CANCER. Rev. Cir. Parag. [online]. 2017, vol.41, n.1, pp.8-13. ISSN 2307-0420.  https://doi.org/10.18004/sopaci.abril.8-13.

Objective:

To determine the clinical-surgical and histological characteristics of a group of patients diagnosed with colon cancer, and causes of morbidity and mortality of them.

Material:

a study descriptive, retrospective, of transverse cut about 40 patients with histological diagnosis of colon cancer, over 16 years, of both sexes admitted to the Department of Surgery of the Central Hospital of IPS, since January to July of 2016.

Results:

52.5% were male, the most number of cases in the age range between 60-70 years, with predominance an average of 60 years. The most frequent reasons for medical consultation were 33% abdominal pain, bleeding by anus 15%, 10% intestinal obstruction. The most common seat for the tumor was the sigmoid colon were 50%, 20% cecun, ascending colon 15%, transverse 7.5%, colon spleen 5% descending colon 2.5%. They were operated elective so 90% of patients. The most common histological type was adenocarcinoma 95%. The way most common used was abscess more conventional laparoscopic 90%. The observed complications were anastomotic leakage in 15% and surgical site infection by 25%. There was no difference between mechanical and manual suture regarding dehiscence. 62% the liver was the most frequent site of metastases seat. The average hospital stay was 16 days. Observed shorter stay in males. Shorter stay in patients undergoing elective surgery. patients over 60 years reported longer hospital stay. The hospital mortality was low and in most cases was inherent in the surgery, also influencing the previous state of the patient.

Keywords : Colon cancer; Complication; Histopathology type; Paths abscess..

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