SURGICAL MANAGEMENT OF CARCINOMA CAECUM
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Keywords:
Carcinoma of caecum, Large gut malignancy, Intestinal obstruction
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Abstract
Objective: To determine the magnitude of carcinoma caecum and its surgical management in the
department of Surgery, Hayatabad Medical Complex Peshawar- Pakistan.
Methodology: This case series study was conducted at surgical Unit Hayatabad Medical Complex
Peshawar from July 2006 to June 2009. A total of 32 patients of carcinoma of caecum were included that
were admitted either through OPD as elective cases (22 patients) or in emergency (10 patients). In elective
cases, diagnosis was made on colonoscopic biopsy while those who presented in emergency either with
intestinal obstruction or with the suspicion of acute appendicitis, were diagnosed on the resected specimen
histopathology.
Results: Out of 32, 25 patients (78%) were male and 7 (22%) female, with a male to female ratio of 3.6:1.
Their mean age at the time of presentation was 65±2.8 years. Right hemicolectomy with side to side or end
to end ileotransverse anastomosis was performed in 23 cases (71.89%). In 3 cases (9.37%) ileotransverse
bypass without resection was carried out as the tumour was locally advanced. In 3 other cases (9.37%),
only omental biopsy was taken as the carcinoma was so advanced that any curative or palliative resection
was not possible. In emergency situation, right hemicolectomy with exteriorization of bowel ends was done
in 3 cases (9.37%). Postoperative morbidity included wound infection 12.50%, faecal fistula 9.37% and
intraabdominal collection 6.25%.
Conclusion: Majority of the patients were having operable disease, however late presentation is very
common. Surgical intervention may prove to be a better option in such cases.
department of Surgery, Hayatabad Medical Complex Peshawar- Pakistan.
Methodology: This case series study was conducted at surgical Unit Hayatabad Medical Complex
Peshawar from July 2006 to June 2009. A total of 32 patients of carcinoma of caecum were included that
were admitted either through OPD as elective cases (22 patients) or in emergency (10 patients). In elective
cases, diagnosis was made on colonoscopic biopsy while those who presented in emergency either with
intestinal obstruction or with the suspicion of acute appendicitis, were diagnosed on the resected specimen
histopathology.
Results: Out of 32, 25 patients (78%) were male and 7 (22%) female, with a male to female ratio of 3.6:1.
Their mean age at the time of presentation was 65±2.8 years. Right hemicolectomy with side to side or end
to end ileotransverse anastomosis was performed in 23 cases (71.89%). In 3 cases (9.37%) ileotransverse
bypass without resection was carried out as the tumour was locally advanced. In 3 other cases (9.37%),
only omental biopsy was taken as the carcinoma was so advanced that any curative or palliative resection
was not possible. In emergency situation, right hemicolectomy with exteriorization of bowel ends was done
in 3 cases (9.37%). Postoperative morbidity included wound infection 12.50%, faecal fistula 9.37% and
intraabdominal collection 6.25%.
Conclusion: Majority of the patients were having operable disease, however late presentation is very
common. Surgical intervention may prove to be a better option in such cases.
Article Details
How to Cite
1.
Hadi A ul, Aman Z, Khan SA, Khan M, Iqbal Z. SURGICAL MANAGEMENT OF CARCINOMA CAECUM. J Postgrad Med Inst [Internet]. 2011 Oct. 21 [cited 2024 Nov. 22];25(1). Available from: https://jpmi.org.pk/index.php/jpmi/article/view/1214
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