Colorectal Cancers: Frequency and Surgical Management at the Ignace Deen General Surgery Department and at the Donka Oncological Surgery Unit (CHU CONAKRY)

Abstract

<i>Introduction:</i> the purpose of this study was to determine the hospital frequency of colorectal cancers, to write the modalities of surgical management of CRC to the department of general surgery of the Ignace Deen National Hospital and to the oncological surgery unit of Donka. <i>Material and Methods: </i>this was a retrospective descriptive study lasting five years from 1 January 2014 to 31 December 2018. This study focused on patients admitted and operated on in one of the two (Ignace Deen General Surgery and the Donka Oncological Surgery Unit) and including a report of the pathological examination of the operating room confirming the diagnosis. <i>Result: </i>at the end of this study we collected 89 cases of CC (64 colonic cases and 25 rectal cases) or a hospital frequency of 3.47%. The most affected age group was 40-49 years 24.7% (n=22). The average age of the patients was 51 years with extremes of 13 years and 76 years. We observed a male predominance, a sex ratio of 1.1. Housewives were the most affected 35.96% of cases (n=32). 82.02 % (n=73) of our patients resided in Conakry. The most common localization was colon with 72% of cases (n=64). The most common histological type was adenocarcinoma with 84.27% of cases (n=75). We observed an advanced TNM stage with stage III (n=8) with 9% and stage IV (n=24) with 27% respectively. Surgery was performed in 76.40% of cases (n=68) and chemotherapy in 39.33% of cases (n=35). We recorded a mortality rate of 36.7% of cases (n=25), patients lost to follow-up accounted for 5.62% (n=5). 51.5% of cases (n=35) had a favorable outcome. 11.8% of our patients had complications (n=8) with a type of suppuration 7.4% (n=5) and incisional hernia 4.4% (n=3). <i>Conclusion</i>: The difficulties of management in our practice were related to the delay of diagnosis and the cost of chemotherapy drugs.