Yıl: 2019 Cilt: 8 Sayı: 1 Sayfa Aralığı: 182 - 188 Metin Dili: İngilizce İndeks Tarihi: 28-05-2020

Preoperative Imaging Guided No-Laparotomy vs Conventional Diverting Colostomy: A Multi-Institutional Case-Control Study

Öz:
INTRODUCTION: We aimed to compare the outcomes of no-laparotomy and conventional diverting colostomy techniques and to describe the process and benefits of using preoperative imaging tools in no-laparotomy procedure.METHODS: Patients intended to receive no-laparotomy diverting colostomy, have preoperative imaging tools of 3D computerized tomography and X-ray examinations in order to predict the best location for the stoma construction. The perioperative outcomes in these cases were compared with those obtained from the patients operated with conventional diverting colostomy with laparotomy at another institution.RESULTS: Eighteen and 16 patients had a diverting colostomy with no-laparotomy technique after preoperative assessment, and conventional procedure. Demographics and most of the patient- and procedure-related factors were similar. Length of incision, (4.8±0.8 vs. 13.3±1.9cms, p<0.001) operation time (31.4±13.0 vs 46.7±7.9mins, p<0.001) and the rate of surgical site infection (0 vs 4 [25%], p=0.039) and hospitalization period (4 [3-30] vs 5 [4-34]days, p=0.01) were significantly less in no-laparotomy group.DISCUSSION and CONCLUSION: No-laparotomy technique may be safe and beneficial while performing a diverting colostomy. Length of incision, operation time and hospitalization period are shortened if a laparotomy is avoided, and the rate of surgical site infection decreases. Current study recommends preoperative imaging tools when a no-laparotomy technique is intended.
Anahtar Kelime:

Preoperatif Görüntüleme Kılavuzluğunda Laparotomisiz ve Klasik Saptırıcı Kolostomi: Çok Merkezli Vaka Kontrol Çalışması

Öz:
GİRİŞ ve AMAÇ: Geleneksel saptırıcı kolostomi tekniği ile laparotomisiz kolostomi tekniklerini karşılaştırmak ve laparotomisiz teknikte ameliyat öncesi görüntüleme tetkiklerinin faydasını göstermek amaçlanmıştır. YÖNTEM ve GEREÇLER: Laparotomisiz hasta grubunda doğru stoma yerinin tespiti için 3 boyutlu bilgisayarlı tomografi (BT) ve düz grafi tetkikleri kullanıldı. Bu hastaların sonuçları ile başka bir merkezde laparotomi ile saptırıcı kolostomi açılan hastaların sonuçları karşılaştırıldı. BULGULAR: Laparotomisiz kolostomi uygulanan 18 hasta ve laparotomili kolostomi uygulanan 16 hasta çalışmaya dahil edildi. Demografik veriler ile birçok hasta ve işlem ilişkili parametre benzer bulundu. İnsizyon boyutu (4.8±0.8 karşın 13.3±1.9cm, p<0.001) operasyon süresi (31.4±13.0 karşın 46.7±7.9dk, p<0.001) cerrahi alan enfeksiyonu (0 vs 4 [25%], p=0.039) ve yatış süresi (4 [3-30] karşın 5 [4-34]gün, p=0.01) laparotomisiz grupta anlamlı olarak daha az idi. TARTIŞMA ve SONUÇ: Saptırıcı kolostomi oluşturulmasında laparotomisiz teknik güvenli ve yararlı olabilir. Laparotomide sakınılarak insizyon boyutu, operasyon süresi ve yatış süreleri kısaltılıp cerrahi alan enfeksiyonları azaltılabilir. Mevcut çalışma, laparotomisiz kolostomi planlanan hastalarda görüntüleme yöntemlerinden yararlanılmasını önermektedir.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA HAKSAL M, Okkabaz N, SEKER M, GÖRET N, ALTUNTAŞ Y, EROL C, Oncel M (2019). Preoperative Imaging Guided No-Laparotomy vs Conventional Diverting Colostomy: A Multi-Institutional Case-Control Study. , 182 - 188.
Chicago HAKSAL Mustafa Celalettin,Okkabaz Nuri,SEKER MEHMET,GÖRET Nuri Emrah,ALTUNTAŞ Yunus Emre,EROL Cengiz,Oncel Mustafa Preoperative Imaging Guided No-Laparotomy vs Conventional Diverting Colostomy: A Multi-Institutional Case-Control Study. (2019): 182 - 188.
MLA HAKSAL Mustafa Celalettin,Okkabaz Nuri,SEKER MEHMET,GÖRET Nuri Emrah,ALTUNTAŞ Yunus Emre,EROL Cengiz,Oncel Mustafa Preoperative Imaging Guided No-Laparotomy vs Conventional Diverting Colostomy: A Multi-Institutional Case-Control Study. , 2019, ss.182 - 188.
AMA HAKSAL M,Okkabaz N,SEKER M,GÖRET N,ALTUNTAŞ Y,EROL C,Oncel M Preoperative Imaging Guided No-Laparotomy vs Conventional Diverting Colostomy: A Multi-Institutional Case-Control Study. . 2019; 182 - 188.
Vancouver HAKSAL M,Okkabaz N,SEKER M,GÖRET N,ALTUNTAŞ Y,EROL C,Oncel M Preoperative Imaging Guided No-Laparotomy vs Conventional Diverting Colostomy: A Multi-Institutional Case-Control Study. . 2019; 182 - 188.
IEEE HAKSAL M,Okkabaz N,SEKER M,GÖRET N,ALTUNTAŞ Y,EROL C,Oncel M "Preoperative Imaging Guided No-Laparotomy vs Conventional Diverting Colostomy: A Multi-Institutional Case-Control Study." , ss.182 - 188, 2019.
ISNAD HAKSAL, Mustafa Celalettin vd. "Preoperative Imaging Guided No-Laparotomy vs Conventional Diverting Colostomy: A Multi-Institutional Case-Control Study". (2019), 182-188.
APA HAKSAL M, Okkabaz N, SEKER M, GÖRET N, ALTUNTAŞ Y, EROL C, Oncel M (2019). Preoperative Imaging Guided No-Laparotomy vs Conventional Diverting Colostomy: A Multi-Institutional Case-Control Study. Kocaeli Tıp Dergisi, 8(1), 182 - 188.
Chicago HAKSAL Mustafa Celalettin,Okkabaz Nuri,SEKER MEHMET,GÖRET Nuri Emrah,ALTUNTAŞ Yunus Emre,EROL Cengiz,Oncel Mustafa Preoperative Imaging Guided No-Laparotomy vs Conventional Diverting Colostomy: A Multi-Institutional Case-Control Study. Kocaeli Tıp Dergisi 8, no.1 (2019): 182 - 188.
MLA HAKSAL Mustafa Celalettin,Okkabaz Nuri,SEKER MEHMET,GÖRET Nuri Emrah,ALTUNTAŞ Yunus Emre,EROL Cengiz,Oncel Mustafa Preoperative Imaging Guided No-Laparotomy vs Conventional Diverting Colostomy: A Multi-Institutional Case-Control Study. Kocaeli Tıp Dergisi, vol.8, no.1, 2019, ss.182 - 188.
AMA HAKSAL M,Okkabaz N,SEKER M,GÖRET N,ALTUNTAŞ Y,EROL C,Oncel M Preoperative Imaging Guided No-Laparotomy vs Conventional Diverting Colostomy: A Multi-Institutional Case-Control Study. Kocaeli Tıp Dergisi. 2019; 8(1): 182 - 188.
Vancouver HAKSAL M,Okkabaz N,SEKER M,GÖRET N,ALTUNTAŞ Y,EROL C,Oncel M Preoperative Imaging Guided No-Laparotomy vs Conventional Diverting Colostomy: A Multi-Institutional Case-Control Study. Kocaeli Tıp Dergisi. 2019; 8(1): 182 - 188.
IEEE HAKSAL M,Okkabaz N,SEKER M,GÖRET N,ALTUNTAŞ Y,EROL C,Oncel M "Preoperative Imaging Guided No-Laparotomy vs Conventional Diverting Colostomy: A Multi-Institutional Case-Control Study." Kocaeli Tıp Dergisi, 8, ss.182 - 188, 2019.
ISNAD HAKSAL, Mustafa Celalettin vd. "Preoperative Imaging Guided No-Laparotomy vs Conventional Diverting Colostomy: A Multi-Institutional Case-Control Study". Kocaeli Tıp Dergisi 8/1 (2019), 182-188.