Kolorektal Kanser Cerrahi Geçiren Hastalarda Clavien-Dindo Sınıflandırma Sistemine Göre Postoperatif Komplikasyonlar

Year 2023, , 903 - 919, 05.01.2024

Hatice Yüceler Kaçmaz , Muhammet Akyüz , Hilal Kahraman , Seda Akutay , Özlem Ceyhan

https://doi.org/10.38079/igusabder.1173461

Abstract

Amaç: Bu araştırma ile kolorektal kanser cerrahisi geçiren hastalarda görülen postoperatif komplikasyonlar incelenmiştir.
Yöntem: Kesitsel bir araştırma olarak yürütülen çalışmaya kolorektal kanser cerrahisi geçiren 127 hasta dahil edilmiştir. Postoperatif 30 gün boyunca komplikasyon açısından takip edilen hastalarda görülen komplikasyonlar Clavien-Dindo sınıflandırma sistemi kullanılarak kaydedilmiştir.
Bulgular: Clavien-Dindo sınıflandırma sistemine göre hastaların %44,9’unda I. derece, %42,5 inde II. derece, %8,6’sında III. derece, %2,4’ünde IV. Derece ve %1,6’sında V. derece komplikasyon geliştiği tespit edilmiştir. Çalışmada kolorektal kanser cerrahisi geçiren hastaların 30 günlük majör postoperatif komplikasyon oranı %12,6; mortalite oranı %1,6’dır. Daha önce bağırsak cerrahisi geçirme durumu, cerrahi işlem süresi, postoperatif hastanede kalış süresi ve komplikasyon dereceleri arasında anlamlı bir ilişki olduğu belirlenmiştir.
Sonuç: Kolorektal kanser cerrahisi geçiren hastaların postoperatif komplikasyon riskleri açısından değerlendirmesi, mevcut risklere karşı önlemler alınması ve postoperatif komplikasyonların uygun şekilde yönetimi ve takibi sağlanmalıdır.

Keywords

Kolorektal cerrahi, kolorektal kanser, postoperatif komplikasyon, takip çalışmaları

Postoperative Complications According to Clavien-Dindo Classification System in Patients Undergoing Colorectal Cancer Surgery

Abstract

Aim: In this study, postoperative complications observed in patients undergoing colorectal cancer surgery were investigated.
Method: 127 patients who underwent colorectal cancer surgery were included in the study, which was conducted as a cross-sectional study. Complications observed in patients who were followed up for complications for 30 days postoperatively were recorded using the Clavien-Dindo classification system.
Results: According to the Clavien-Dindo classification system, 44.9% of the patients were grade I and 42.5% were grade II. grade, III in 8.6%. grade, IV in 2.4%. Grade V complications were detected in 1.6% of them. In the study, the 30-day major postoperative complication rate of the patients who underwent colorectal cancer surgery was 12.6% and the mortality rate was 1.6%. It has been determined that there is a significant relationship between previous bowel surgery, duration of surgical procedure, postoperative hospital stay, and degree of complications.
Conclusion: Patients undergoing colorectal cancer surgery should be evaluated in terms of postoperative complication risks, measures should be taken against existing risks, and appropriate management and follow-up of postoperative complications should be provided.

Keywords

Kolorectal surgery, colorectal cancer, postoperative complication, follow-up studies

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