TU2.12 Experience of Elective Colorectal Cancer Surgery at District General Hospital (DGH): Single centre study

Abstract

Abstract Background Elective colorectal resection surgery is one of the most common surgical procedures performed for bowel cancer treatment. This study evaluates the whole practice of colorectal cancer surgery in a DGH in England. Aims The primary outcome is to measure postoperative length of stay (LOS), with secondary outcomes including approach of surgical operation and conversion rate, R0 resection, VTE prophylaxis and its compliance with NICE guidelines, postoperative DVT over a period of one year, readmission rate within 30 days of discharge and reasons for readmission. Methods A single centre, retrospective, observational study was performed over a period of a year from January 2018 –January 2019. Patients were eligible for study inclusion if they had undergone planned surgical resection for colorectal cancer after being discussed in the local colorectal cancer MDT. Results A total of 123 patients were included. Mean length of stay was 7.97 days. 74.7% of the procedures were performed by laparoscopic approach with conversion rate of 6.5%. R0 resection was achieved in 95.1%. 96.7% of patients who underwent surgery for colorectal cancer received extended VTE prophylaxis as per NICE guidelines. Six patients had developed post-operative DVT and one inpatient death recorded. 13.8% of patients that underwent colorectal surgery for cancer were readmitted within 30 days of discharge. SBO, abdominal/pelvic collection, wound dehiscence and SSI as the most common reasons for readmission. Conclusion Laparoscopic approach is the preferred method for elective colorectal resection surgeries with acceptable measures of patient outcome including R0 resection, postoperative length of stay, DVT and readmission rate.