[Surgical treatment of XXXX . 10-year experience at the INCMNSZ].

@entity1 @entity295 @entity5 @entity281 @entity14
OBJECTIVE: To analyze the short- and long-term outcomes of the surgical treatment for @entity14 at the Instituto Nacional de Ciencias M  dicas y Nutrici  n Salvador Zubir  n (INCMNSZ) in Mexico City. BACKGROUND: @entity14 is the second most frequent @entity5 of the digestive tract in Mexico. Its incidence is rising, and its identification in early stages is important to offer a curative surgical treatment. METHODS: Retrospective, descriptive observational trial. We studied 165 @entity1 who underwent colorectal surgery for treatment of @entity5 between 1985 and 1994 at the INCMNSZ. We compared the variables of @entity1 and the surgical procedures and their relationship with morbidity and mortality with 5-year survival. RESULTS: Survival was greater in curative-attempting procedures of the colon than of the rectum (p < 0.05). Survival rate was also greater in earlier stages of the disease at the moment of diagnosis. Surgical morbidity occurred in 30% due to wound @entity281 in most cases. Mortality rate was 3.6%, while the main cause was @entity295 . @entity1 > 65 years of age had a higher mortality rate. Rectal surgery had higher morbidity than colonic surgery. CONCLUSIONS: Detecting @entity1 at earlier stages of the disease is required to offer them a curative-attempting surgery procedure. Stage at moment of diagnosis correlates with survival rates. Age was a risk factor for surgical mortality, and rectal surgery, a risk factor for morbidity.
