Surgical management of carcinoma of caecum

ABSTRACT

To study the various aspects of caecal carcinoma as age, sex, clinical presentation and diagnosis. This retrospective study was conducted in Surgical Units of Nishtar Hospital, Multan during the period from January 1997 to December 2000. A total of 60 patients were included in the study. There were 45 cases of males and only 15 cases of females. Male to female ratio was 41. The age range was 30-80 years. Most of the patients were between the ages 45-65 years. The youngest patient was 30 years old and the oldest patient was 80 years old. Both were males. The average age was 55 years. Mass in RIF was found in 42 patients, acute appendicitis was seen in 6 patients and intestinal obstruction was present in 12 cases. Right hemicolectomy with primary ileo-transverse anastomosis was done in 42 cases. Surgery is the mainstay in the treatment of carcinoma of caecum. Thus right hemicolectomy with primary ileo-transverse anastomosis is a safe procedure in fit patients even in emergency