TTP3.07 Colorectal cancer surgeries in Public Sector Hospitals of Lahore, Pakistan. Our experience & lessons learned

Aims Colorectal surgery outcomes are better when performed by dedicated surgeons at dedicated centres. No established colorectal cancer service exists in any public sector hospitals in Lahore, Pakistan. We developed a referral unit for colorectal cancers in our hospital. Methods All colorectal cancer patients operated from Jan 2018 to Dec 2024 included. Patient’s demographics, Area of presentation (Emergency/Elective), Type of Surgery were recorded. Early Post-Op Outcomes including margins, CRM positivity, LN yield and post op complications were recorded. Results 72 months. 183 cases. 84 colon cancers and 99 cases of rectal cancer. 179 out of 183 cases were operated of which are 24 laparoscopic colonic resection and 60 are open colonic resection. Among rectal cancer 40 are laparoscopic resection and 59 are open rectal cancer resections. In terms of oncological out comes 19 cases were at stage 2 disease, 160 cases were at stage 3 , median lymph node retrieved 13, proximal margin positive 0, distal margin positive 2 and CRM positive In terms of Complications Superficial SSI 24, Deep SSI 4, Bleeding 2, Anastamotic Leak 6 Mortality 6. Colon cancerN=84Rectal cancersN=99Sigmoid Colectomy23Anterior resection29Right Hemicolectomy32Hartman15Left Hemicolectomy9APR23Total Colectomy7Extra Levator APR8Stoma formation only11Posterior Pelvic exenteration7Diagnostic lap and abandoned2stoma only10Resection of recurrent Rectal cancer3 Conclusion We have established dedicated referral centre for colorectal cancers. Next step is to start a Training program for colorectal surgery in future.