Thirty-Day Postoperative Outcomes Following Surgery for Colorectal Malignancy: A Single-Centre Cohort Study

Area of Science:

• Oncology
• Surgical Gastroenterology
• Public Health

Background:

• Colorectal cancer surgery is a cornerstone treatment.
• Post-operative complications significantly impact patient outcomes.
• Understanding these complications is crucial for improving care.

Purpose of the Study:

• To evaluate 30-day post-operative complications following colorectal cancer surgery.
• To identify factors associated with complications and mortality.
• To assess outcomes in a tertiary care setting in India.

Main Methods:

• A prospective study of 30 patients undergoing colorectal cancer resection.
• Follow-up for 30 days post-surgery.
• Data collection on complications, mortality, and hospital stay.

Main Results:

• Surgical site infection occurred in 36.66% of patients.
• Thirty-day mortality was 10%, linked to advanced disease and poor physiological reserve.
• Emergency surgery showed a higher complication burden than elective surgery.

Conclusions:

• Emergency surgery for colorectal cancer is associated with increased complications.
• Advanced disease and poor physiological reserve predict higher mortality.
• Findings underscore the significant morbidity of colorectal cancer surgery, especially in emergency cases.