Associated Risk Factors and Outcomes of Resection Surgery of Colorectal Cancer: A Single Center Study in Bangladesh

Abstract

Background: One of the most common cancers in the world is c1olorectal cancer. Surgery is the sole curative option, and post-operative morbidity and mortality should be kept to a minimum to enhance results. Of course, the whole surgical and medical team is extremely frustrated when post-operative complications finally result in patient death. Because colon cancer patients tend to be older, it is to be expected that a growing percentage of patients have co-morbidity, making any procedure riskier. Patients may lose their lives even after successful surgery as a result of co-morbidity-related consequences. The main method of therapy for colorectal cancer is still surgery. However, the procedure entails a high risk of morbidity and death and uses a substantial amount of medical resources. Postoperative complications are common in patients who have had colorectal surgery, and they put them at increased risk for morbidity, mortality, poor oncologic outcomes, and a reduced quality of life. Objective: To find out associated risk factors of the patients related to colorectal cancer and the outcome of resection surgery of colorectal cancer. Materials and Methods: After receiving ethical permission, the department of surgery at Rangpur Medical College Hospital carried out this longitudinal form of descriptive study between July 2019 and June 2020. After explaining the nature and goal of the study to the participants, signed informed permission was acquired. A pre-made questionnaire was used to interview a total of 33 patients. Each patient had a complete physical examination, a careful history review, and any necessary investigations. Based on pre-existing co-morbidities, surgical technique, and associated complications, 30-day postoperative mortality and morbidity were assessed. The case questionnaire contained the collected data. ANOVA, Fisher exact, and the appropriate statistical tests (Chi-square) were run. Software called SPSS (version 22.0) was used to examine the data.