PDF(Pubmed)
Abstract：
Background and Objectives: The purpose of the study was to analyze the relationships among several clinical factors and also the tumor topography and surgical strategies used in patients with colorectal cancer. Materials and Methods: We designed an analytical, observational, retrospective study that included patients admitted to our emergency surgical department and diagnosed with colorectal cancer. The study group inclusion criteria were: patients admitted during 2020-2022; patients diagnosed with colorectal cancer (including the ileocecal valve); patients who benefited from a surgical procedure, either emergency or elective. Results: In our study group, consisting of 153 patients, we accounted for 56.9% male patients and 43.1% female patients. The most common clinical manifestations were pain (73.2% of the study group), followed by abdominal distension (69.3% of the study group) and absence of intestinal transit (38.6% of the study group). A total of 69 patients had emergency surgery (45.1%), while 84 patients (54.9%) benefited from elective surgery. The most frequent topography of the tumor was the sigmoid colon, with 19.60% of the patients, followed by the colorectal junction, with 15.68% of the patients, and superior rectum and inferior rectum, with 11.11% of the patients in each subcategory. The most frequent type of procedure was right hemicolectomy (21.6% of the study group), followed by rectosigmoid resection (20.9% of the study group). The surgical procedure was finished by performing an anastomosis in 49% of the patients, and an ostomy in 43.1% of the patients, while for 7.8% of the patients, a tumoral biopsy was performed. Conclusions: Colorectal cancer remains one of the most frequent cancers in the world, with a heavy burden that involves high mortality, alterations in the quality of life of patients and their families, and also the financial costs of the medical systems.
摘要：
背景和目的：本研究的目的是分析几种临床因素之间的关系，以及结直肠癌患者的肿瘤地形图和手术策略。材料和方法：我们设计了一个分析，观察,回顾性研究包括我们急诊外科收治并诊断为结直肠癌的患者。研究组纳入标准为：2020-2022年期间收治的患者;诊断为结直肠癌（包括回盲瓣）的患者;受益于外科手术的患者，紧急或选修。结果：在我们的研究组中，由153名患者组成，男性患者占56.9%，女性患者占43.1%。最常见的临床表现是疼痛（研究组的73.2%），其次是腹胀(研究组的69.3%)和缺乏肠道转运(研究组的38.6%).共有69例病人接受急诊手术(45.1%),84名患者（54.9%）受益于择期手术。肿瘤最常见的地形是乙状结肠，19.60%的患者，其次是结直肠交界处，15.68%的患者，上直肠和下直肠，每个子类别中11.11%的患者。最常见的手术类型是右半结肠切除术（研究组的21.6%），其次是直肠乙状结肠切除术（研究组的20.9%）。49％的患者通过吻合术完成了外科手术，43.1%的患者进行了造口术，而对于7.8%的患者来说，进行了肿瘤活检.结论：结直肠癌仍然是世界上最常见的癌症之一，涉及高死亡率的沉重负担，患者及其家属生活质量的改变，以及医疗系统的财务成本。
