Colorectal Cancer Surgical Treatment, our Experience

Med Arch. 2019 Dec;73(6):412-414. doi: 10.5455/medarh.2019.73.412-414.


Introduction: Colorectal cancer is the third most common cancer in the male and female population. Surgical treatment of colorectal cancer is based on tumor resection and removal of associated lymph glands.

Aim: The aim of the paper is to present data from a five-year retrospective study of the surgical treatment of colorectal cancer at the Clinic for General and Abdominal Surgery at the Clinical Center of the University of Sarajevo.

Methods: This is a retrospective five-year clinical trial (2014-2018) of patients with and surgically treated for colorectal cancer at the Clinic for General and Abdominal Surgery at the Clinical Center of Sarajevo University.

Results: In the 2014-2018 period, n = 11 172 patients were hospitalized at the Clinic, of which n = 732 were surgically treated for colorectal cancer. 69.80% were operated in an elective program. 30.20% were made as emergencies. 51.09% were male patients and 48.36% were female patients. 97.20% were made by open technique. 2.10% operated by minimally invasive procedure. the most common type of colon tumor is Adenocarcinomas are the most common with 79%.

Conclusions: Better prevention and early detection are required to reduce the incidence of patients, which ultimately leads to more effective treatment and longer survival of colon cancer patients. Operative surgical principles must be adapted to modern trends, minimally invasive procedures (laparoscopic surgery, robotic surgery).

Keywords: cancer; colorectal; prevention; surgical treatment.

MeSH terms

  • Adenocarcinoma / pathology
  • Adenocarcinoma / surgery*
  • Adult
  • Aged
  • Aged, 80 and over
  • Bosnia and Herzegovina
  • Colon, Ascending / surgery
  • Colorectal Neoplasms / pathology
  • Colorectal Neoplasms / surgery*
  • Conversion to Open Surgery
  • Elective Surgical Procedures
  • Emergencies
  • Female
  • Humans
  • Laparoscopy
  • Laparotomy
  • Length of Stay
  • Male
  • Middle Aged
  • Minimally Invasive Surgical Procedures
  • Neoplasm Grading
  • Neoplasm Staging
  • Rectal Neoplasms / pathology
  • Rectal Neoplasms / surgery
  • Retrospective Studies
  • Sigmoid Neoplasms / pathology
  • Sigmoid Neoplasms / surgery