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

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

Öz

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.

Anahtar Kelimeler

• Kolorektal cerrahi
• kolorektal kanser
• postoperatif komplikasyon
• takip çalışmaları

Kaynakça

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