Operative Guidelines and Strategies in Standardizing Clinical Operative Guidelines and Strategies in Standardizing Clinical Management of Colorectal Carcinoma

Original article


Elhousieni M, Rishi M , Roetzscher V, Adel El Hanash A

Department of General Surgery , Al -Fateh University, Tripoli, Libya

JMJ 2009;9(4):285-289


Locoregional recurrence and distant metastases, determine on the clinical course of colorectal carcinoma in terms of prognosis. The assessment of risk of locoregional recurrence can be derived from histopathological evaluation of residual disease (R0-2) and systematic lymphadenectomy, which are responsible for the extent of large bowel resection. As long as reliable documentation, clinical analysis, and statistical comparison are not available in terms of primary and secondary prevention on a national level, standardized treatment following an international recommendation is necessary. This will guarantee a satisfactory clinical outcome, which can be assumed to be comparable with international standards. A retrospective study of 45 cases of colorectal cancer were analyzed between January 2004 and December 2005 concerning the mode of treatment in terms of operative methods applied, completeness of primary tumour removal, and management of relevant lymphatic drainage. Tumour pathology was considered using Duke’s tumour classification, and clinical data were drawn from individual medical files, and compared with up-to-date standards in operative treatment. The individual procedures were examined in detail to direct future clinical practice. Conclusion: tumour stage and grade reflect independent oncological factors, local recurrence rate, proved to be related to surgical application of oncological principles. multidisciplinary approach in the treatment of colorectal carcinoma has changed thoroughly the clinical understanding and the prognosis.

Keywords: Colorectal cancer , Guidelines , Operative standards

Link/DOI: http://www.jmj.org.ly/PDF/winter2009/285.pdf