Table 5 Details of Mortalities
Sr.No. | Age | Sex | Primary Site | TNM | Primary surgery | Comments | Cause of death | Remarks |
|---|---|---|---|---|---|---|---|---|
1 | 70 | Male | Rectum | T3N0M0 | Low Anterior resection with covering colostomy | NA | Pulmonary complication requiring ventilatory support-never recovered. | Adequate preoperative assessment of pulmonary functions & excluding a focus of infection is now a routine in our set up. |
2 | 63 | Male | Splenic flexure of colon | T3N0M0 | Left hemicolectomy with Hartmann's procedure | Emergency exploration for intestinal obstruction requiring on table bowel decompression due to massive bowel dilatation. Duration of surgery was over 4 hours. | Died with sepsis | Pre-existing sepsis, inadequate perioperative fluid resuscitation and long duration of emergency surgery contributed to the mortality. |
3 | 54 | Male | Splenic flexure of colon | T4N1M0 | Left hemicolectomy and distal pancreatosplenectomy | Local recurrence with gastrocolic fistula. Exploratory laparotomy with distal gastrectomy with transverse colectomy and revision of pancreatic margin with gastrojejunostomy and colo-colic handsewn anastomosis. | Died with undiagnosed leak and poor nutrition | In a locally advanced malignancy with recurrence we had been aggressive in treating in the absence of metastases. |
4 | 58 | Male | Sigmoid | T4N1M0 | Anterior resection of rectum | NA | Died after 30 hours due to Massive MI | Unforeseen cardiovascular complications occur despite adequate preoperative work up. |
5 | 47 | Male | Ascending colon | T3N2M0 | Palliative Right Hemicolectomy | On POD 5th developed abdominal pain and severe dyspnea, shifted to ICU with metabolic acidosis and put on ventilator. He died on POD6. | Sepsis with multiorgan failure | Poor nutritional reserves add up to major surgical stress combined with septic complication |