EVALUATION OF COLORECTAL CANCER SURGERIES PERFORMED IN THREE YEARS

Öz

Aim: This study aimed to present clinicopathological features, surgical characteristics, and short-term outcomes of patients with colorectal cancer who underwent laparoscopic or open surgery. Material and Method: The data of colorectal cancer cases operated in the General Surgery Department of XXX between January 2017 and December 2020 were reviewed retrospectively. Tumor localization, pathological diagnoses, operation types, tumor, tumor invasion, lymph node properties, additional treatments, hemogram tests, length of hospital stay, follow-up time, postoperative complications, recurrence and mortality were analyzed. Results: Patients’ age ranged from 36 to 87 years with a median of 66. Open surgery was performed in 79.55% and laparoscopic surgery was performed in 20.45%. The median length of hospital stay was 6 days (IQR: 5–8). Mean follow-up time was 20.52 ± 10.49 months. Postoperative infection was observed in 16.67% and postoperative leakage was observed in 6.82% of the cases. Six patients (5.61%) experienced recurrence. Mortality rate was 17.41%, and early mortality (≤30 days) rate was 3.03%. Conclusion: More publications are needed concerning laparoscopic and open colorectal surgery. We believe that it is important for clinics to share their results and experiences in colorectal surgery, and that our results will not only contribute to the literature, but also contribute to the establishment of general surgery clinics which becoming more common in our country.

Anahtar Kelimeler

• Cerrahi onkoloji
• Gastrointestinal sistem
• Kolorektal kanser
• Mortalite

ÜÇ YILDA YAPILAN KOLOREKTAL KANSER AMELİYATLARININ DEĞERLENDİRİLMESİ

Öz

Amaç: Bu çalışma, laparoskopik veya açık cerrahi uygulanan kolorektal kanserli hastaların klinikopatolojik özelliklerini, cerrahi özelliklerini ve kısa dönem sonuçlarını sunmayı amaçlamıştır. Gereç Ve Yöntem: Ocak 2017 ile Aralık 2020 tarihleri arasında XXX Genel Cerrahi Anabilim Dalı'nda ameliyat edilen kolorektal kanser olgularının verileri retrospektif olarak incelendi. Tümör lokalizasyonu, patolojik tanılar, operasyon tipleri, tümör, tümör invazyonu, lenf nodu özellikleri, ek tedaviler, hemogram testleri, hastanede kalış süresi, takip süresi, postoperatif komplikasyonlar, nüks ve mortalite analiz edildi. Bulgular: Hastaların yaşları ortanca 66 olmak üzere 36 ile 87 arasındaydı. Olguların %79,55'inde açık cerrahi, %20,45'inde laparoskopik cerrahi uygulandı. Ortalama hastanede kalış süresi 6 gündü (IQR: 5-8). Ortalama takip süresi 20.52 ± 10.49 aydı. Olguların %16.67'sinde ameliyat sonrası enfeksiyon, %6.82'sinde ameliyat sonrası kaçak gözlendi. Altı hastada (%5.61) nüks görüldü. Mortalite oranı %17,41, erken mortalite (≤30 gün) oranı ise %3,03 idi. Sonuç: Laparoskopik ve açık kolorektal cerrahi ile ilgili daha fazla yayına ihtiyaç vardır. Kliniklerin kolorektal cerrahide elde ettikleri sonuçları ve deneyimlerini paylaşmalarının önemli olduğunu, sonuçlarımızın literatüre katkı sağlayacağının yanı sıra ülkemizde giderek yaygınlaşan genel cerrahi kliniklerinin kurulmasına da katkı sağlayacağına inanıyoruz.

Anahtar Kelimeler

• Surgical oncology
• Gastraintestinal tract
• Colorectal cancer
• Mortality

Kaynakça

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