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Preoperative evaluation: Medical obstacles to surgery
Author(s) -
Griffith R. Stephen
Publication year - 1992
Publication title -
cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.052
H-Index - 304
eISSN - 1097-0142
pISSN - 0008-543X
DOI - 10.1002/1097-0142(19920901)70:3+<1333::aid-cncr2820701521>3.0.co;2-t
Subject(s) - medicine , perforation , medical therapy , colorectal cancer , surgery , sepsis , malnutrition , intervention (counseling) , cancer , intensive care medicine , general surgery , nursing , materials science , punching , metallurgy
The primary curative therapy for colorectal cancer is surgical resection. In addition, surgery is the mainstay for palliative therapy in most patients with more advanced colorectal cancer. Medical problems may have an impact on the decisions of when to operate and what procedure to do. Postoperative morbidity and mortality are affected by preoperative medical conditions. These medical problems may be secondary to the carcinoma, such as obstruction, perforation with sepsis, or malnutrition, or may be a result of underlying disorders, especially cardio–pulmonary diseases. Adequate evaluation and indicated therapeutic intervention before surgical procedures will improve the patient's outcome.