INDEX OF POSTOPERATIVE COMPLICATIONS IN PATIENTS WITH COLORECTAL CANCER IN THE FIRST THIRTY DAYS AFTER SURGERY

Abstract

Colorectal cancer (CRC) is one of the most prevalent malignant neoplasms in Brazil and in the world, being the most common in the digestive tract. Surgical treatments vary and go according to the particular factors of each, consequently the postoperative complications (POC) as well. Therefore, this study aimed to carry out a quantitative and qualitative analysis of the medical records of the PCO of patients diagnosed with CRC at the Hospital do Câncer de Cascavel, Paraná, (UOPECCAN) between 2014 and 2021. Data collection took place between March and June of 2023 under ethical approval CAAE nº 66132722.8.0000.5219. Clinical and epidemiological variables of patients of both sexes and over 18 years of age were collected. During the period studied, 415 patients underwent the surgical process, namely abdominoperineal amputation of the rectum (2.4%), colectomy (38.5%) and rectosigmoidectomy (59.1%). Of these, 52.3% were male and 47.7% female. The mean age was 65 years and 79.4% of the patients were of white ethnicity. Of the total, 375 (90%) patients had at least 1 previous comorbidity. The majority, 245 (59.1%), had at least one postoperative complication. Since, 37.7% of the patients had surgical wound infection, 11.2% anastomotic fistula, 10.8% ARF, 10% evolved with surgical wound dehiscence and 5.8% with pneumonia. Regarding the number of complications presented by each patient, the study revealed that the greater the age and number of comorbidities, the greater the prevalence of postoperative complications.