Ankara Üniversitesi Tıp Fakültesi Mecmuası

0365-8104 1307-5608

Ankara University

General Surgery

Genel Cerrahi

Rektum Kanseri Tedavisinde Elektrokoagülasyon Yönteminin Yeri Ve Uygulama Sonuçları

The Place of Electrocoagulation Method in Rectal Cancer Treatment and Application Results

Korkmaz

Atilla

ankara üniversitesi tıp fakültesi

03 31 1987

40 1 9 20 01 01 1987 03 30 1987

1947

Ankara Üniversitesi Tıp Fakültesi Mecmuası

Küratif ve palyatif arnaçla kullamlan elelctrokoagülasyon yöntemi -60 olguda uygulanarak, rektum kanserinin tedavisindeki yeri ve degeri arastlrllrrnstlr. Yöntem, operabl, anal halkadan itibaren ilk 4 cm. de bulunan ve en çok 4 cm, büyüklükteki polipoid tümörlerde en iyidir. izlenen 12 operabl olguda ba,¥arl oranl % 66.7 dir. inoperabl Olgularda ise kanamamn ve aúnmn giderilmesinde yüksek oranlarda ba§arl elde edilirken obstrüksiyonu önlemede olunmu$ur. Elektrokoagülasyon yöntemi % 20 morbidite, % 1.7 operatif mortalite ve % 25 rezidiv oranlarl dikkate almdlýlnda. gerek operabl gerekse inoperabl olgularda elde edilen basarlll sonuçlarla küratif veya palyatif olarak uygulanacak cerrahi yöntemlere alternatif teskil edebilecek bir yöntemdir.

The therapeutic value of electrocoagulation for the cure and palliation in rectal cancer cases was investigated in 60 patients. The best results were obtained in the operable tumors, localized in the first 4 cm from anal verge, maximun 4 cm in diameter and structurally polypoid. Five-year-survival rate was 83.8 % in these patients, Success rate was 66.7 % in the operable cases. Furthermore, we have failed to prevent the patients from obstruction even though successful results were available in the patients with rectal bleeding and vigorous pain. Electrocoagulation may be accepted as an alternative method in both operable and inoperable patients with its low morbidity, and rare recurrence.

inoperabl operatif küratif

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