Palliative surgery in gastrointestinal malignancy: experience from a regional cancer centre
Journal – International Surgery Journal
Publication date – Sep – 2020
Authors – Prafulla Kumar Das, Kalyan Pandey, Padmalaya Deavi, Swodeep Mohanty, Kunal Goutam, Subrat Samantara, Bharat Bhushan Satpathy, Nilesh B. Patil, Subhranshu Lekha
Keywords – Gastrointestinal malignancy, Palliative surgery, Quality of Life
Open access – Yes
Speciality – General surgery, Surgical oncology
World region South-eastern Asia
Language – English
Submitted to the One Surgery Index on October 30, 2020 at 5:28 pm
Background: With so much burden of advanced incurable disease, the role of palliative surgery is paramount for gastrointestinal malignancies improving quality of life. Aim of the study was to study the indications, risks and outcome of palliative surgeries in gastrointestinal malignancies, the burden of disease requiring palliative surgery, and to describe strategies to improve end of life care.
Methods: All the patients diagnosed with gastrointestinal malignancy and who underwent palliative surgery between January 2017 and December 2017 were analysed.
Results: A total of 186 cases underwent palliative surgery. The most common age group affected was between 50-60 years and the mean age was 54.55 years. Stomach was the most common primary consisting of 58.60% followed by colorectal (23.66%), small intestine (9.68%), hepato-pacreatico-billiary (4.30%), and oesophageal (3.76%) primary. Major complications were seen in 4.84% of cases. Average symptomatic relief was observed for 5.5 months in cases of stomach and 7 months in case of colorectal malignancies. 35.48% cases were alive at the end of one year.
Conclusions: Present study concludes that palliative surgery improves quality of life of the patient, provides them with time to accept death and live rest of the life in a dignified manner.
OSI Number – 20704