There is a geographical variation in the incidence rates with more than half of the cases of CRC occurring in developed countries. However, mortality is higher in the less developed countries who have limited resources and inadequate health infrastructure. Mortality rates have been decreasing in many Western countries due to a combination of various factors like early detection due to screening and improved treatment of CRC. Rectal cancer patients who receive dose escalation in addition to standard neo‐adjuvant chemoradaiation (prescribed whole pelvis radiotherapy dose of 50.4Gy with additional 9 Gy BOOST to GTV Primary with margin under standard fraction as 1.8Gy per fraction for 5 days a week for 7‐8 weeks with concurrent capecitabine during the days of radiation) will be included in the study. In our study, perineal wound complications occurred in 4 cases out of 8 patients of APR which was managed conservatively but resulted in prolonged hospital stay and delay in adjuvant chemotherapy. In our study, out of 15 patients, 1 patient developed vesicocuteneous fistula which managed by prolonged foley’s catheterisation. 1 patient developed urinary retention after removal of foleys on pod5 which was managed by reinsertion of foley’s for 2 weeks.
Burugupalli Sriram, B.V.S.R. Rakesh Kumar and B. Shivakumar Naik. Surgical Outcomes in Carcinoma Rectum After Radical Radiation.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.6.182.186
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.6.182.186