Audit of colorectal cancer surgery by non-specialist surgeons.
Background Some authorities recommend that colorectal cancer should be treated in specialist units but evidence that non-specialist units demonstrate comparatively poor results may be lacking.
Methods Between 1987 and 1991,267 patients were operated on by four general surgeons, none of whom was a specialist in colorectal surgery.
Procedure-related complications, postoperative mortality and disease-related survival rates were analysed.
Results There were four cases of intraperitoneal sepsis (1 per cent) and five of 189 patients (3 per cent) had clinical anastomotic dehiscence ; there was no case of wound dehiscence.
The postoperative mortality rate after elective and emergency surgery was 2 and 13 per cent respectively.
The 5-year disease-related survival rate for curative and palliative surgery was 67 and 9 per cent respectively.
There were no significant differences between the surgeons.
Conclusion Disease-related variables such as early-stage disease and fewer patients presenting as emergencies may have a greater favourable influence on ultimate survival than surgeon-related variables.
Mots-clés Pascal : Carcinome, Côlon, Rectum, Résection chirurgicale, Relation incertitude, Pronostic, Complication, Expérience professionnelle, Chirurgien, Audit, Homme, Tumeur maligne, Appareil digestif pathologie, Intestin pathologie, Côlon pathologie, Rectum pathologie, Chirurgie
Mots-clés Pascal anglais : Carcinoma, Colon, Rectum, Surgical resection, Uncertainty relation, Prognosis, Complication, Professional experience, Surgeon, Audit, Human, Malignant tumor, Digestive diseases, Intestinal disease, Colonic disease, Rectal disease, Surgery
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0229743
Code Inist : 002B25G02. Création : 11/06/1997.