95 KB20 KB192920262003Juvan, RobertRepše, StanislavŠtor, Zdravkostr. I-57-I-60ISSN:1318-0347COBISSID_HOST:16593113URN:URN:NBN:SI:doc-AA6PHNZ7slSlovensko zdravniško društvoZdravniški vestnikAnketeColorectal NeoplasmsKolorektalne novotvorbeQuestionnairesSurgeryTreatment OutcomeZdravljenje, izidKirurgija raka debelega črevesa in danke v Sloveniji| Surgical treatment of colorectal cancer in Slovenia|Background. Colorectal cancer (CRC) is the third most common malignancy and the first most frequent cancer of the gastrointestinal tract occurring in Slovenia. In the Slovene Cancer Registry, there were 1022 new CRC cases and 598 deaths from CRC in 1998. Methods. In 2000 a survey of patients with CRC was conducted in all surgical departments in Slovenia and the data were compared with those obtained in 1995. Results. In year 2000 976 patients with CRC were admitted to all surgical departments in Slovenia: 340 (35.45%) out of976 received treatment in Ljubljana (UMC 318, OI 28), 233 (23.87%) in two bigger regional hospitals and 397 (40.67%) in other 9 surgical units. In 1995 a total of 803 patients with CRC were treated in all surgical departments in Slovenia. The overall operability rate was 98% and resectability rate 81% and in 2000 97% and 83% respectively. Postoperative mortality rate in patients with resected CRC was 3.3% in 1995 and 4.1% in 2000. Conclusions. In the last decade early results of surgical treatment of CRC patients (operability, resectability and postoperative mortality) are unchanged but late results (Syear survival, quality of life and paliative care) have improvedIzhodišča. Rak debelega oz. debelega črevesa in danke (DČD) je v Sloveniji medvsemi raki na tretjem mestu in na prvem med raki prebavil. Register raka jev letu 1998 zabeležil 1022 novoodkritih primerov in 598 smrti zaradi raka DČD. Metode. Poizvedba na vseh kirurških oddelkih v Sloveniji z vprašalnikom ozdravljenih bolnikih v letu 2000. Analiza odgovorov in primerjava s podatki enakega vprašalnika iz leta 1995. Rezultati. Na vseh kirurških oddelkih v Sloveniji je bilo v letu 2000 zdravljenih 976 bolnikov z rakom DČD: 346/976 (35,45%) v Ljubljani (KC 318, OI 28), 233 (23,87%) v dveh večjih regijskih bolnišnicah (MB 135, CE 98) in 397 (40,67%) na ostalih 9 kirurških oddelkih. Vletu 1995 so na vseh oddelkih v Sloveniji zdravili 803 bolnike z rakom DČD. Splošna operabilnost je bila v letu 1995 98% (787/803) in v letu 2000 96,4% (941/976), resektabilnost 81,6% (642/787) oz 80,9% (761/942). Pooperativna smrtnost reseciranih bolnikov je bila v letu 1995 3,3% in v letu 2000 4,1% smrtnost po neresekcijskih operacijah pa 17,2% in 17,4%. Zaključki. Zgodnji rezultati kirurškega zdravljenja raka DČD (operabilnost, resektabilnost, pooperativna smrtnost) so v zadnjem desetletju približno enaki, pozni rezultati (5-letno preživetje, kakovost preostalega življenja in paliativna oskrba) pa so se izboljšaliTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaSlovensko zdravniško društvo