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01.12.2012 | Research | Ausgabe 1/2012 Open Access

World Journal of Surgical Oncology 1/2012

Complications as indicators of quality assurance after 401 consecutive colorectal cancer resections: the importance of surgeon volume in developing colorectal cancer units in India

World Journal of Surgical Oncology > Ausgabe 1/2012
Guruprasad S Shetty, Yashodhan D Bodhankar, Sachin Ingle, Rohan G Thakkar, Mahesh Goel, Parul J Shukla, Shailesh V Shrikhande
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1477-7819-10-15) contains supplementary material, which is available to authorized users.
Guruprasad S Shetty, Yashodhan D Bodhankar contributed equally to this work.

Competing interests

The authors declare that they have no competing interests.

Authors' contributions

Data collection and analysis, manuscript preparation, formatting, editing: SVS, GS, YB, SI, RT. Editing and critical review: MG, PJS, SVS. Concept, manuscript preparation, analysis and critical review: SVS. All authors read and approved the final manuscript.



The low incidence of colorectal cancer in India, coupled with absence of specialized units, contribute to lack of relevant data arising from the subcontinent. We evaluated the data of the senior author to better define the requirements that would enable development of specialized units in a country where colorectal cancer burden is increasing.


We retrospectively analyzed data of 401 consecutive colorectal resections from a prospective database of the senior author. In addition to patient demographics and types of resections, perioperative data like intraoperative blood loss, duration of surgery, complications, re-operation rates and hospital stay were recorded and analyzed.


The median age was 52 years (10-86 years). 279 were males and 122 were females. The average duration of surgery was 220.32 minutes (range 50 - 480 min). The overall complication rate was 12.2% (49/401) with a 1.2% (5/401) mortality rate. The patients having complications had an increase in their median hospital stay (from 10.5 days to 23.4 days) and the re-operation rate in them was 51%. The major complications were anastomotic leaks (2.5%) and stoma related complications (2.7%).


This largest ever series from India compares favorably with global standards. In a nation where colorectal cancer is on the rise, it is imperative that high volume centers develop specialized units to train future specialist colorectal surgeons. This would ensure improved quality assurance and delivery of health care even to outreach, low volume centers.
Authors’ original file for figure 1
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