Mini Review - Case Reports in Surgery and Invasive Procedures (2022) Volume 6, Issue 5
Consequences and Outcomes with Colon Cancer Surgery.
Department of Epidemiology, University of Groningen, University Medical Center Groningen, Groningen, Netherlands
- *Corresponding Author:
- Van Johannes
Department of Epidemiology
University of Groningen, University Medical Center Groningen
Received: 29-Aug-2022, Manuscript No. AACRSIP-22-63373; Editor assigned: 30-Aug-2022, PreQC No. AACRSIP-22-63373(PQ); Reviewed: 17-May-2022, QC No. 13-Sep-2022; Revised: 16-Sep-2022, Manuscript No. AACRSIP-22-63373(R); Published: 23-Sep-2022, DOI: 10.35841/aacrsip-6.5.125
Citation: Johannes V. Consequences and outcomes with colon cancer surgery. Case Rep Surg Invasive Proced. 2022;6(5):125
The importance of understanding functional outcomes is growing as colon cancer survival rates rise. This systematic review and meta-main analysis's goal was to rate functional outcomes following colon cancer surgery. Second, we wanted to know how postoperative functional outcomes were affected by follow-up time and the kind of colectomy. While an increase in the percentage of elderly people developing colon cancer is anticipated, these patients may also experience more significant problems. This study's objective was to evaluate postoperative problems and their immediate effects in colon cancer surgery based on patient age.
Colon cancer, Colorectal surgery, Bowel dysfunction.
Surgical procedures are complicated because of technical practise changes; specialists must maintain their specialisation throughout their careers. Technology develops as well, thus new methods should be possible. Nevertheless, step-evolution after completing formal training can be difficult for those who are engaged in a busy practise, especially when the change necessitates expansion into new anatomical regions and/or the deployment of new skills that call for not only equipment and knowledge but also judgement in the exactitude of application. Traditional education and training, including preceptor ships, transition basic understanding and skill, but afterwards it is still challenging to apply concepts to daily life and go from competency to proficiency. Because of this, many new tools are only used within the existing technique paradigm, which only produces non-inferior results and new approaches may not spread effectively .
The second biggest cause of cancer-related deaths in Europe, Colorectal Cancer (CRC) is the third most prevalent cancer in the world. 1 In just one year, 34,332 people will be diagnosed with CRC in Spain alone. 2 The proportion of CRCs arising in elderly patients is anticipated to rise as the population ages. Postoperative mortality following CRC surgery has dropped to below 2%; however the prevalence of serious complications following CRC surgery is still significant, with most published studies reporting rates between 10% and 30% .
Colon cancer is one of the most common cancers in the United States, and advances in colon cancer surgery continue. Despite innovation, colectomy for cancer adheres to oncological principles of adequate lymphadenectomy, advanced ligation of primary vessels, adequate longitudinal margins, and in some cases the addition of complete midcolectomy. For left sided anastomoses, anastomotic testing is required to reduce the rate of clinically apparent leaks .
Doctors generally agree that postoperative bowel function gradually gets slightly better with time. To our knowledge, however, there is no comprehensive analysis of bowel function in the years following colon cancer surgery. Additionally lacking is a concise comparison of postoperative bowel function after various oncological colonic resection procedures .
Cancers of the transverse colon are anatomically variable due to the tumor's relationship to two collateral vascular supplies with variable lymphatic basins. Recruitment of the transverse colon is more technically challenging because the mesocolon overlying the pancreas is often shortened and has fragile colic vessels at risk of detachment. For these reasons, an extended right colectomy is recommended over a left colectomy, so that the terminal ileum can be largely migrated .
The elderly were more likely to experience serious side effects such anastomosis leakage or cardiorespiratory failure, and their in-hospital mortality rate during the postoperative period was roughly ten times higher than that of younger patients. Older individuals should get adequate functional training prior to the intervention, and a nonsurgical strategy may be preferable when the risks of the intervention outweigh the possible benefits.
- Martling AL, Holm T, Rutqvist LE, et al.Effect of a surgical training programme on outcome of rectal cancer in the County of Stockholm. The Lancet. 2000;356(9224):93-6.
- Schrag D, Cramer LD, Bach PB, et al.Influence of hospital procedure volume on outcomes following surgery for colon cancer. Jama. 2000;284(23):3028-35.
- Van Gijn W, Gooiker GA, Wouters MW, et al. Volume and outcome in colorectal cancer surgery. Eur J Surg Oncol. 2010;36:S55-63.
- Crippa J, Duchalais E, Machairas N, et al.Long-term oncological outcomes following anastomotic leak in rectal cancer surgery. Dis Colon & Rect. 2020;63(6):769-77.
- Midura EF, Hanseman DJ, Hoehn RS, et al.The effect of surgical approach on short-term oncologic outcomes in rectal cancer surgery.. Surg. 2015;158(2):453-9.