Characterization of right colectomies due to oncological pathologies according to the approach route in the general surgery service of the IPS Central Hospital, in the period 2018-2020

Abstract

Introduction: Colorectal cancer is the most common malignant neoplasm of the digestive tract. More than 95% corresponds to adenocarcinoma. The incidence is similar in men and women. In the General
Surgery Service of the IPS Central Hospital, a large number of right colectomies are performed electively for neoplastic pathologies. Objective: To describe the clinical, surgical and anatomopathological characteristics of colonic resections with oncological margin according to the approach route performed in the context of tumor pathologies of the right colon, at the IPS Central Hospital, 2018-2020. Methodology: A
descriptive, retrospective, cross-sectional observational study was carried out. Results: 115 patients were included, the average age was 64.2
years, 55.7% female and 88.0% presented Adenocarcinoma. Regarding the approach route for colonic resection with oncological margin, in 76% it was conventional; in 6.9% by conventional route, they presented suture dehiscence and 4.6% died. The mean number of nodes resected was 18.8 ±9.9. It was found that 89.0% of those who underwent laparoscopic surgery had a hospital stay of 1-10 days and 85.0% conventional surgery. Conclusion: The average age was 64 years and the female sex predominated. The most frequent anatomopathological diagnosis was Adenocarcinoma; The most commonly used approach was the conventional one. The most frequent post-surgical complication was suture dehiscence, which occurred in a higher percentage in those patients with
a conventional approach, and the hospital stay was longer in patients operated using a conventional approach.