BibTex RIS Kaynak Göster

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Yıl 2014, Cilt: 2 Sayı: 1, 18 - 23, 27.10.2015

Seyfi Emir Selim Sözen Burhan Kanat Zeynep Özkan Fatih Yazar Burak Kavlakoğlu Mehmet Bozan Fatih Erol

Öz

Aim The aim of this study is sharing the morbidity and mortality rates and risc factors efecting the morbidity and mortality rates of patients underwent emergency operation in our clinic. Materials and Methods Between January 2008 - July 2012 eighteen patients, 10 men and 8 women, who operated because of obstructive colorectal cancer, were reviewed. Patients were examined fora ge, sex, complication, operation type, morbidity and mortality. The effects of age, sex and tumor location on morbidity and mortality were examined. Results Mean age of patients was 66 ± 8,6. Ten patients were elder than 70 (% 56,6). Complet obstruction was seen in 16 patients (% 88,8). In one patient perforation was seen wtih obstrucion (% 5,6). Hartmann’s procedure was performed for 12 patients (% 66,7), loop colostomy was performed for two patients (% 11,2), right hemicolectomy was performed for two patients (% 11,2), total colectomy with ileorectal anastomosis was performed for 1 patient (% 5,6), right hemicolectomy with end ileostomy was performed for 1 patient (% 5,6). Morbidity was seen in 5 patients (% 27,8). Mortality was seen in two patients (% 11,2). Both patients with mortality were elder than 70 (p=0.21). There weren’t any significant difference for sex and tumor’s location. Conclusion Morbidity and mortality rates increases in patients whom underwent emergency surgery for obstructive colorectal cancer. Being elder patient is one of the reasons. And also accompanied complications like perforation searously increase mortality and morbidity

Anahtar Kelimeler

Colon cancer obstruction morbidity mortality

Kaynakça

  • Lee YM, Law WL, Chu KW, Poon RT. Emergency surgery comparison between right-sided and left-sided lesions. J Am Coll Surg 2001;192(6):719–725.
  • colorectal cancers: a
  • Edwards BK, Howe HL, Ries LAG et al. Annual report to the nation on the status of cancer, 1973-1999, featuring implications of age and aging on US cancer burden. Cancer 2002;94(10):2766-2792. Watanabe 12. Ogawa M, M, Eto K, et al. Clinicopathological features of perforated colorectal cancer. Anticancer Research 2009;29(5):1681-1684.
  • Peregudov SI, Sinenchenko GI, Kurygin AA, Pirogov AV. Experience in surgery of diastatic ruptures of the colon. Vestn Khir Im I I Grek. 2008;167(3):49-53.
  • Renoux B, Herbault GF, Jean E. Diastatic perforations of the colon of neoplastic origin. Apropos of 15 cases. J Chir (Paris). 1986;123(11):644-650.
  • Zielinski MD, Merchea A, Heller SF, You YN. Emergency Cancers: How Aggressive Should We Be? Journal of Gastrointestinal Surgery 2011;15(12):2232-2238. of Perforated Colon
  • Runkel NS, Hinz U, Lehnert T, Buhr HJ, Herfarth Ch. Improved outcome after emergency surgery for cancer of the large intestine. Br J Surg 1998;85(9):1260-1265
  • Jiang JK, Lan YT, Lin TC, et al. Primary vs. delayed resection for obstructive left-sided colorectal cancer: impact of surgery on patient outcome. Dis Colon Rectum 2008;51(3):306-311.
  • Runkel NS, Schlag P, Schwarz V, Herfarth C. Outcome after emergency surgery for cancer of the large intestine. Br J Surg 1991;78(2):183-188.
  • Carty NJ, Corder AP. Which surgeons avoid a stoma in treating left-sided colonic obstruction? Results of a postal questionnaire. Ann R Coll Surg Engl 1992;74(6):391-394.
  • Caiazzo P, Di Palma R, Pesce G, Pede A. Obstructing colon cancer--what’s the surgical strategy?. Ann Ital Chir 2004;75(4):455-460.
  • Isbister WH, Prasad J. Emergency large bowel surgery: a 15-year audit. Int J Colorectal Dis 1997;12(5):285-290.
  • Parc R, Bouteloup PY, Kartheuser A. Must we reject primary colostomy in left colonic obstruction caused by cancer?. Chirurgie 1989;115(2):112-116.
  • Cugnenc PH, Berger A, Zinzindohoue F, et al. 2-stage surgery of neoplastic left colonic obstruction remains the safest procedure. J Chir (Paris) 1997;134:275-278.
  • Finan PJ, Campbell S, Verma R, et al. The management of malignant large bowel obstruction: ACPGBI 2007;9(4):1-17. Colorectal Dis
  • Osian G. Emergency Surgery for Colorectal Cancer Complications: Obstruction, Perforation, Bleeding. In: Yik- Hong Ho (Ed.) Contemporary Issues in Colorectal Surgical Practice. Intech, 2012:75-86.
  • Sayek İ, Aydın HO. Kolon Kanserleri. In: Sayek İ, ed.
  • Temel Cerrahi. 4. Baskı. Güneş Tıp Kitabevi Ltd Şti, 2013:1409-1417

Mekanik Bağırsak Tıkanıklığına Neden Olan Kolorektal Kanserlerde Morbidite ve Mortaliteye Etki Eden Faktörler

Yıl 2014, Cilt: 2 Sayı: 1, 18 - 23, 27.10.2015

Seyfi Emir Selim Sözen Burhan Kanat Zeynep Özkan Fatih Yazar Burak Kavlakoğlu Mehmet Bozan Fatih Erol

Öz

ÖZET
Amaç: Bu çalışmanın amacı obstrüksiyon yapmış kolorektal kanserler nedeniyle kliniğimizde acil şartlarda opere edilen hastalardaki morbidite ve mortalite oranlarını ve bunlara etki eden faktörleri sunmaktır.
Materyal – Metod: Ocak 2008 - Temmuz 2012 yılları arasında mekanik barsak tıkanıklığına neden olmuş kolorektal kanser nedeniyle ameliyat edilen 10 erkek ve 8 kadın olmak üzere 18 hasta retrospektif olarak değerlendirildi. Hastalar yaş, cinsiyet, komplikasyon, yapılan ameliyat, morbidite, mortalite açısından incelendi. Yaşın, cinsiyetin ve tümör yerleşiminin morbidite üzerine olan etkileri incelendi.
Bulgular: Hastaların yaş ortalaması 66 ± 8.6 idi. Yetmiş yaş üzerinde 10 (%56.6) vardı. Hastaların 16’sında komplet bir obstruksiyon izlendi (%88.8). Bir hastada obstrüksiyonla beraber perforasyon mevcuttu (%5.6). On iki hastaya Hartman prosedürü (%66.7) uygulanırken, 2 hastaya loop kolostomi (%11.2), 2 hastaya sağ hemikolektomi (%11.2), 1 hastaya total kolektomi ileorektal anastomoz (%5.6), 1 hastaya sağ hemikolektomi uç ileostomi (%5.6) uygulandı. Beş hastada morbidite izlendi (%27.8). İki hastada mortalite izlendi (%11.2). Morbidite görülen tüm hastalar 70 yaş üzerindeydi (p=0.21). cinsiyete göre ve tümörün yerleşim yerine göre ise morbidite oranları açısından anlamlı fark yoktu.
Sonuç: Obstruktif kolorektal kanser nedeniyle acil operasyona alınan hastalarda mortalite ve morbidite izlenme olasılığı artmaktadır. Bunun nedenlerinden birisi hastaların daha çok ileri yaşlarda olmalarıdır. Ayrıca hastalarda perforasyon gibi eşlik eden bir komplikasyon varlığı mortalite ve morbiditeyi ciddi ölçüde arttırmaktadır.

Anahtar Kelimeler

Kolon kanseri obstrüksiyon morbidite mortalite

Kaynakça

  • Lee YM, Law WL, Chu KW, Poon RT. Emergency surgery comparison between right-sided and left-sided lesions. J Am Coll Surg 2001;192(6):719–725.
  • colorectal cancers: a
  • Edwards BK, Howe HL, Ries LAG et al. Annual report to the nation on the status of cancer, 1973-1999, featuring implications of age and aging on US cancer burden. Cancer 2002;94(10):2766-2792. Watanabe 12. Ogawa M, M, Eto K, et al. Clinicopathological features of perforated colorectal cancer. Anticancer Research 2009;29(5):1681-1684.
  • Peregudov SI, Sinenchenko GI, Kurygin AA, Pirogov AV. Experience in surgery of diastatic ruptures of the colon. Vestn Khir Im I I Grek. 2008;167(3):49-53.
  • Renoux B, Herbault GF, Jean E. Diastatic perforations of the colon of neoplastic origin. Apropos of 15 cases. J Chir (Paris). 1986;123(11):644-650.
  • Zielinski MD, Merchea A, Heller SF, You YN. Emergency Cancers: How Aggressive Should We Be? Journal of Gastrointestinal Surgery 2011;15(12):2232-2238. of Perforated Colon
  • Runkel NS, Hinz U, Lehnert T, Buhr HJ, Herfarth Ch. Improved outcome after emergency surgery for cancer of the large intestine. Br J Surg 1998;85(9):1260-1265
  • Jiang JK, Lan YT, Lin TC, et al. Primary vs. delayed resection for obstructive left-sided colorectal cancer: impact of surgery on patient outcome. Dis Colon Rectum 2008;51(3):306-311.
  • Runkel NS, Schlag P, Schwarz V, Herfarth C. Outcome after emergency surgery for cancer of the large intestine. Br J Surg 1991;78(2):183-188.
  • Carty NJ, Corder AP. Which surgeons avoid a stoma in treating left-sided colonic obstruction? Results of a postal questionnaire. Ann R Coll Surg Engl 1992;74(6):391-394.
  • Caiazzo P, Di Palma R, Pesce G, Pede A. Obstructing colon cancer--what’s the surgical strategy?. Ann Ital Chir 2004;75(4):455-460.
  • Isbister WH, Prasad J. Emergency large bowel surgery: a 15-year audit. Int J Colorectal Dis 1997;12(5):285-290.
  • Parc R, Bouteloup PY, Kartheuser A. Must we reject primary colostomy in left colonic obstruction caused by cancer?. Chirurgie 1989;115(2):112-116.
  • Cugnenc PH, Berger A, Zinzindohoue F, et al. 2-stage surgery of neoplastic left colonic obstruction remains the safest procedure. J Chir (Paris) 1997;134:275-278.
  • Finan PJ, Campbell S, Verma R, et al. The management of malignant large bowel obstruction: ACPGBI 2007;9(4):1-17. Colorectal Dis
  • Osian G. Emergency Surgery for Colorectal Cancer Complications: Obstruction, Perforation, Bleeding. In: Yik- Hong Ho (Ed.) Contemporary Issues in Colorectal Surgical Practice. Intech, 2012:75-86.
  • Sayek İ, Aydın HO. Kolon Kanserleri. In: Sayek İ, ed.
  • Temel Cerrahi. 4. Baskı. Güneş Tıp Kitabevi Ltd Şti, 2013:1409-1417
Toplam 18 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Araştırma Makaleleri
Yazarlar

Seyfi Emir

Selim Sözen

Burhan Kanat

Zeynep Özkan Bu kişi benim

Fatih Yazar

Burak Kavlakoğlu Bu kişi benim

Mehmet Bozan Bu kişi benim

Fatih Erol Bu kişi benim

Yayımlanma Tarihi 27 Ekim 2015
Yayımlandığı Sayı Yıl 2014 Cilt: 2 Sayı: 1

Kaynak Göster

APA Emir, S., Sözen, S., Kanat, B., Özkan, Z., vd. (2015). Mekanik Bağırsak Tıkanıklığına Neden Olan Kolorektal Kanserlerde Morbidite ve Mortaliteye Etki Eden Faktörler. International Journal of Basic and Clinical Medicine, 2(1), 18-23.
AMA Emir S, Sözen S, Kanat B, Özkan Z, Yazar F, Kavlakoğlu B, Bozan M, Erol F. Mekanik Bağırsak Tıkanıklığına Neden Olan Kolorektal Kanserlerde Morbidite ve Mortaliteye Etki Eden Faktörler. International Journal of Basic and Clinical Medicine. Ekim 2015;2(1):18-23.
Chicago Emir, Seyfi, Selim Sözen, Burhan Kanat, Zeynep Özkan, Fatih Yazar, Burak Kavlakoğlu, Mehmet Bozan, ve Fatih Erol. “Mekanik Bağırsak Tıkanıklığına Neden Olan Kolorektal Kanserlerde Morbidite Ve Mortaliteye Etki Eden Faktörler”. International Journal of Basic and Clinical Medicine 2, sy. 1 (Ekim 2015): 18-23.
EndNote Emir S, Sözen S, Kanat B, Özkan Z, Yazar F, Kavlakoğlu B, Bozan M, Erol F (01 Ekim 2015) Mekanik Bağırsak Tıkanıklığına Neden Olan Kolorektal Kanserlerde Morbidite ve Mortaliteye Etki Eden Faktörler. International Journal of Basic and Clinical Medicine 2 1 18–23.
IEEE S. Emir, “Mekanik Bağırsak Tıkanıklığına Neden Olan Kolorektal Kanserlerde Morbidite ve Mortaliteye Etki Eden Faktörler”, International Journal of Basic and Clinical Medicine, c. 2, sy. 1, ss. 18–23, 2015.
ISNAD Emir, Seyfi vd. “Mekanik Bağırsak Tıkanıklığına Neden Olan Kolorektal Kanserlerde Morbidite Ve Mortaliteye Etki Eden Faktörler”. International Journal of Basic and Clinical Medicine 2/1 (Ekim 2015), 18-23.
JAMA Emir S, Sözen S, Kanat B, Özkan Z, Yazar F, Kavlakoğlu B, Bozan M, Erol F. Mekanik Bağırsak Tıkanıklığına Neden Olan Kolorektal Kanserlerde Morbidite ve Mortaliteye Etki Eden Faktörler. International Journal of Basic and Clinical Medicine. 2015;2:18–23.
MLA Emir, Seyfi vd. “Mekanik Bağırsak Tıkanıklığına Neden Olan Kolorektal Kanserlerde Morbidite Ve Mortaliteye Etki Eden Faktörler”. International Journal of Basic and Clinical Medicine, c. 2, sy. 1, 2015, ss. 18-23.
Vancouver Emir S, Sözen S, Kanat B, Özkan Z, Yazar F, Kavlakoğlu B, Bozan M, Erol F. Mekanik Bağırsak Tıkanıklığına Neden Olan Kolorektal Kanserlerde Morbidite ve Mortaliteye Etki Eden Faktörler. International Journal of Basic and Clinical Medicine. 2015;2(1):18-23.
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