Perforated gastric carcinoma

Yıl 2006, Cilt: 21 Sayı: 4, 174 - 177, 01.05.2006

Özgür Korkmaz. Gülşen H. Yılmaz İbrahim Taçyıldız

Öz

OBJECTIVES In this study, we aimed to discus morbidity, mortality and surgical procedures of the patients who had been operated on with the indication of gastric tumour perforation. METHODS A total of 29 patients (25 males, 4 females; median age 54.31±14.42 years) who underwent emergency operation were studied. The following variables were assessed: pathololic features, rate of morbidity and mortality, causes of reoperation and factors related with outcome. RESULTS A total of 29 (12%) patients with perforated gastric carcinoma were retrospectively reviewed among 241 consecutive cases of gastric cancer operated in Dicle University General Surgery Department. The complication rate was 51.7 percent. Initially, 22 patients had palliative operations. Three patients had a potentially curative procedure at the emergency operation. Overall, post-operative mortality was 20.7% (6/29). CONCLUSION In our region, gastric cancer perforation is encountered in younger patients with higher proportion. The stage of the tumor is advanced and the diagnosis of peritonitis is delayed. So, these factors decrease the rates of curative surgery.

Anahtar Kelimeler

Stomach Neoplasms, Retrospective Studies, Mortality, Neoplasm Staging, Gastrointestinal Hemorrhage, Stomach Rupture

Mide tümör perforasyonları

Öz

AMAÇ Bu çalışma ile mide tümör perforasyonu nedeniyle acil cerrahi uygulanan olguların morbidite, mortalite ve ameliyat yöntemlerinin tartışılmasını amaçladık. GEREÇ VE YÖNTEM Bu çalışma ile mide tümör perforasyonu nedeniyle Ocak 1996-Mayıs 2006 yılları arasında acil ameliyat uygulanan 29 olgu (25 erkek, 4 kadın; ort. yaş 54.31±14.42) incelendi. Olgular patoloji, komplikasyon ve mortalite oranları, ikinci ameliyat ve sonuçları açısından değerlendirildi. BULGULAR Dicle Üniversitesi Tıp Fakültesi Genel Cerrahi Kliniği'nde mide tümörü nedeniyle ameliyat edilen 241 hastanın 29'unda (%12) perforasyon saptandı. Komplikasyon oranı %51.1 idi. Palyatif tedavi uygulanan olguların sayısı ise 22 idi. Acil ameliyatta küratif tedavi uygulanan üç olgu mevcuttu. Cerrahi mortalite oranı %20.7 (6/29) bulundu. SONUÇ Bölgemizdeki olgularda mide tümör perforasyonu daha genç yaşta görülmüştür. Gerek tümör evresinde gerekse peritonit tanısında gecikme küratif cerrahi oranının düşüklüğüne neden olan faktörlerdir.

Anahtar Kelimeler

Mide neoplazmları, Geriyedönük çalışma, Ölüm oranı, Neoplazm evrelendirilmesi, Gastrointestinal kanama, Mide delinmesi

Kaynakça

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