Two years study of surgical treatment of carcinoma rectum

ABSTRACT

A prospective study of 30 patients of carcinoma rectum was carried out at Liaquat Medical College Hospital, Jamshoro / Hyderabad from July 1992 to June 1994. The median age for the series was 60 years. Sex incidence male to female ratio 141.23 patients [76.7%] had bleeding per rectum. Twenty [66.6%/ had altered bowel habits. Ten cases [33.3%] had pain in the abdomen. Location of the tumour in the lower one third 18 cases [60%], middle one third 26.7%, upper one third 4 cases [13.3%]. Dukes staging were stage A 0, stage B 7 [23.3%], stage C 13 [43.3%], stage D 10 [33.3%]. Operations done were colostomy 23 [76.7%], abdomino perineal resection 6 [20%]. Anterior resection 1 [3.3%]. Resectability rate 26.7%, operative mortality 3.3%, no recurrence complications, retention of urine 16.7%, urinary tract infection 33.3%, perineal obscess 13.3%, haemorrhage 6.7%, stomal complications 16.7%, abdominal wound infection 13.3%