Resections and Palliative Procedures in Patients Operated on for Colorectal Cancer in Poland in 2005-2008

• Autorzy: Alicja Klimczak , Michał Mik , Łukasz Dziki , Wojciech Seroka , Adam Dziki
• Języki publikacji: EN

Abstrakty

EN

The aim of the study was analysis of the number of resection and palliative procedures in patients operated on for colorectal cancer in Poland. We also analyzed the number of sphincter-sparing surgery in patients with rectal cancer.Material and methods. Statistical data about surgical procedures performed in patients with colorectal cancer were obtained from the National Institute of Hygiene in Warsaw. The procedures were divided into palliations and resections. The analysis was performed for the period from 2005 to 2008. We analyzed the data including women and men.Results. We observed an increase in the number of resections from 3381 to 3768 (85.6-88% of all treatments) (2005-2008) in patients with colon cancer. A similar regularity was observed in patients who underwent surgery for rectal cancer from 2335 to 2712, respectively (76.4 to 81.4% of all treatments). Similarly, the number of sphincter-sparing surgery over the course of the period has increased from 1502 to 1916 operations.Conclusions. The increase in the percentage of resections and sphincter-sparing surgery may indicate the progress in the earlier detection of colorectal cancer. Another reason for this increase may be improving the level of education of surgeons due to the better availability of workshops and training. However, analysis is based on too short period of time and these conclusions cannot be regarded as final.

Słowa kluczowe

EN

colorectal cancer; surgical treatment; statistical analysis

• Wydawca: Index Copernicus International
• Czasopismo: Polish Journal of Surgery
• Rocznik: 2010
• Tom: 82
• Numer: 11
• Strony: 621-625

Daty

wydano

2010-11-01

online

2011-01-07

Twórcy

autor

Alicja Klimczak

• Department of History of Medicine and Pharmacy, Medical University in Łódź

autor

Michał Mik

• Department of General and Colorectal Surgery, Medical University in Łódź

autor

Łukasz Dziki

• Department of General and Colorectal Surgery, Medical University in Łódź

autor

Wojciech Seroka

• National Department of Hygiene, Centre for Monitoring and Analysis of Population Health in Warsaw

autor

Adam Dziki

• Department of General and Colorectal Surgery, Medical University in Łódź

Bibliografia

• Nowacki MP: Rak jelita grubego. W: Onkologia kliniczna. Krzakowski M (red.). Warszawa 2001.
• Didkowska J, Wojciechowska H, Tarkowski W, Zatoński WA: Nowotwory złośliwe w Polsce w 2000 roku. Centrum Onkologii-Instytut, Warszawa 2003.
• Korniluk J, Wcisło G, Nurzyński P et al.: Epidemiologia raka jelita grubego. Współcz Onkol 2006; 10: 136.
• Regula J, Rupiński M, Kraszewska E: Colonoscopy in colorectal-cancer screening for detection of advanced neoplasia. N Engl J Med 2006; 355: 1863-72.
• Ponczek D, Nowicki A, Zegarski W, Banaszkiewicz Z: Ocena jakości życia chorych leczonych z powodu raka odbytnicy metodą resekcji przedniej niskiej lub wycięcia brzuszno-kroczowego, bez radioterapii przedoperacyjnej. Współcz Onkol 2005; 9: 359-64.
• Carsin AE, Sharp L, Cronin-Fenton DP et. al.: Inequity in colorectal cancer treatment and outcomes: a population-based study. Br J Cancer 2008; 99: 266-74.
• Ciccolallo L, Capocaccia R, Coleman MP et al.: Survival differences between European and US patients with colorectal cancer: role of stage at diagnosis and surgery. Gut 2005; 54: 268-73.
• Gatta G, Capocaccia R, Sant M et al.: Understanding variations in survival for colorectal cancer in Europe: a EUROCARE high resolution study. Gut 2000; 47: 533-38.
• Gatta G, Sant M, Coebergh JW, Hakulinen T: Substantial variation in therapy for colorectal cancer across Europe: EUROCARE analysis of cancer registry data for 1987. Eur J Cancer 1996; 32: 831-35.
• Morris E, Quirke P, Thomas JD et al.: Unacceptable variation in abdominoperineal excision rates for rectal cancer: time to intervene? Gut 2008; 57: 1690-97.[WoS]
• Tilney HS, Heriot AG, Purkayastha S et al.: A national perspective on the decline of abdominoperineal resection for rectal cancer. Ann Surg 2008; 247: 77-84.[WoS]
• Tilney H, Lovegrove RE, Smith JJ et al.: The National Bowel Cancer Project: social deprivation is an independent predictor of nonrestorative rectal cancer surgery. Dis Colon Rectum 2009; 52: 1046-53.[WoS][PubMed]
• Engel AF, Oomen JL, Eijsbouts QA, et al.: Nationwide decline in annual numbers of abdominoperineal resections: effect of a successful national trial? Colorectal Dis 2003; 5: 180-84.

Identyfikatory

DOI

10.2478/v10035-010-0094-x