Yıl: 2020 Cilt: 30 Sayı: 4 Sayfa Aralığı: 268 - 274 Metin Dili: İngilizce DOI: 10.4274/tjcd.galenos.2020.2019-12-5 İndeks Tarihi: 16-05-2021

Outcomes of Our Laparoscopic Surgery in ColorectalCancer: Our First Experiences

Öz:
Aim: The laparoscopic approach in colorectal surgery is widely applied in experienced centers. In this study, we aimed to present the short-term results of our first laparoscopic experience on the patients with primary diagnosis of colorectal cancer (CRC) in our newly opened hospital.Method: Between 10 August 2018-1 November 2019, patients who underwent elective laparoscopic surgery with the primary diagnosis of CRC in the Sancaktepe Şehit Prof. Dr. İlhan Varank Training and Research Hospital, Clinic of General Surgery were included in the study. Demographic characteristics, type of surgery, duration of surgery, pathology results, length of hospitalization, first bowel movements time, oral intake starting days, drainage catheter removal time, rate of conversion to open surgery, complications and early mortality were evaluated.Results: A total of 20 patients (11 male, 9 female) were included in the study. The median age was 60 (41-80) years. The most performed operation was the right hemicolectomy (50%). In 3 (15%) patients laparoscopic surgery was converted to open surgery. Three (15%) patients developed wound infection, hematoma was seen in 1 (5%) patient, and 1 patient (5%) developed ileus. The mean operative time was 172±31 min and the duration of hospitalization was 7 days (5-15). The total number of dissected lymph nodes was higher in female patients (p=0.02). There was a positive correlation between operation time and length of hospitalization (p=0.016, r=0.532), and tumor diameter and oral intake time (p=0.03, r=0.621). There was no anastomotic leakage or early mortality.Conclusion: Especially our rate of conversion to open surgery, complications, and oncologic outcomes were in line with the literature.
Anahtar Kelime:

Kolorektal Kanserde Laparoskopik Cerrahi Sonuçlarımız: İlk Deneyimlerimiz

Öz:
Amaç: Kolorektal cerrahide laparoskopik yaklaşım deneyimli merkezlerde yaygın olarak uygulanmaktadır. Bu çalışmada, yeni açılan hastanemizdeprimer kolorektal kanser (KRK) tanısı alan hastalardaki ilk laparoskopik deneyimlerimizin kısa dönem sonuçlarını sunmayı amaçladık. Yöntem: Sancaktepe Şehit Prof. Dr. İlhan Varank Eğitim ve Araştırma Hastanesi Genel Cerrahi Kliniği’nde, 10 Ağustos 2018-1 Kasım 2019 tarihleriarasında KRK tanısı ile laparoskopik ameliyat olan hastalar çalışmaya dahil edildi. Hastaların demografik özellikleri, ameliyatın tipi, ameliyatsüresi, patoloji sonuçları, hastanede kalış süresi, ilk gaz-gayta çıkış zamanı, oral gıda başlama günleri, dren çekilme zamanı, açığa dönüş oranı,komplikasyonlar ve erken dönem mortalite değerlendirildi. Bulgular: Toplam 20 hasta (11 erkek, 9 kadın) çalışmaya dahil edildi. Yaş ortalamaları 60 (41-80) idi. En fazla sağ hemikolektomi (%50) uygulandı.Üç hastada (%15) açığa dönüldü, 3 hastada (%15) yara yeri enfeksiyonu, 1 hastada (%5) yara yeri hematomu, 1 hastada (%5) ileus gelişti. Ortalamaameliyat süresi 172±31 dk ve hastanede yatış süresi 7 gündü (5-15). Toplam diseke edilen lenf nodu sayısı kadın hastalarda daha fazla saptandı(p=0,02). Ameliyat süresi ile hastanede yatış süresi arasında (p=0,016, r=0,532 ) ve tümör çapı ile oral gıda başlama zamanı arasında pozitif birkorelasyon olduğu saptandı (p=0,03, r=0,621). Anastomoz kaçağı ve erken dönem mortalite görülmedi. Sonuç: Başta açığa dönüş oranımız olmak üzere komplikasyonlarımız ve onkolojik sonuçlarımız literatürle benzer bulunmuştur
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA Goksoy B, Azamat İ, Özata İ, ONUR E (2020). Outcomes of Our Laparoscopic Surgery in ColorectalCancer: Our First Experiences. , 268 - 274. 10.4274/tjcd.galenos.2020.2019-12-5
Chicago Goksoy Beslen,Azamat İbrahim Fethi,Özata İbrahim Halil,ONUR Ender Outcomes of Our Laparoscopic Surgery in ColorectalCancer: Our First Experiences. (2020): 268 - 274. 10.4274/tjcd.galenos.2020.2019-12-5
MLA Goksoy Beslen,Azamat İbrahim Fethi,Özata İbrahim Halil,ONUR Ender Outcomes of Our Laparoscopic Surgery in ColorectalCancer: Our First Experiences. , 2020, ss.268 - 274. 10.4274/tjcd.galenos.2020.2019-12-5
AMA Goksoy B,Azamat İ,Özata İ,ONUR E Outcomes of Our Laparoscopic Surgery in ColorectalCancer: Our First Experiences. . 2020; 268 - 274. 10.4274/tjcd.galenos.2020.2019-12-5
Vancouver Goksoy B,Azamat İ,Özata İ,ONUR E Outcomes of Our Laparoscopic Surgery in ColorectalCancer: Our First Experiences. . 2020; 268 - 274. 10.4274/tjcd.galenos.2020.2019-12-5
IEEE Goksoy B,Azamat İ,Özata İ,ONUR E "Outcomes of Our Laparoscopic Surgery in ColorectalCancer: Our First Experiences." , ss.268 - 274, 2020. 10.4274/tjcd.galenos.2020.2019-12-5
ISNAD Goksoy, Beslen vd. "Outcomes of Our Laparoscopic Surgery in ColorectalCancer: Our First Experiences". (2020), 268-274. https://doi.org/10.4274/tjcd.galenos.2020.2019-12-5
APA Goksoy B, Azamat İ, Özata İ, ONUR E (2020). Outcomes of Our Laparoscopic Surgery in ColorectalCancer: Our First Experiences. Türk Kolon ve Rektum Hastalıkları Dergisi, 30(4), 268 - 274. 10.4274/tjcd.galenos.2020.2019-12-5
Chicago Goksoy Beslen,Azamat İbrahim Fethi,Özata İbrahim Halil,ONUR Ender Outcomes of Our Laparoscopic Surgery in ColorectalCancer: Our First Experiences. Türk Kolon ve Rektum Hastalıkları Dergisi 30, no.4 (2020): 268 - 274. 10.4274/tjcd.galenos.2020.2019-12-5
MLA Goksoy Beslen,Azamat İbrahim Fethi,Özata İbrahim Halil,ONUR Ender Outcomes of Our Laparoscopic Surgery in ColorectalCancer: Our First Experiences. Türk Kolon ve Rektum Hastalıkları Dergisi, vol.30, no.4, 2020, ss.268 - 274. 10.4274/tjcd.galenos.2020.2019-12-5
AMA Goksoy B,Azamat İ,Özata İ,ONUR E Outcomes of Our Laparoscopic Surgery in ColorectalCancer: Our First Experiences. Türk Kolon ve Rektum Hastalıkları Dergisi. 2020; 30(4): 268 - 274. 10.4274/tjcd.galenos.2020.2019-12-5
Vancouver Goksoy B,Azamat İ,Özata İ,ONUR E Outcomes of Our Laparoscopic Surgery in ColorectalCancer: Our First Experiences. Türk Kolon ve Rektum Hastalıkları Dergisi. 2020; 30(4): 268 - 274. 10.4274/tjcd.galenos.2020.2019-12-5
IEEE Goksoy B,Azamat İ,Özata İ,ONUR E "Outcomes of Our Laparoscopic Surgery in ColorectalCancer: Our First Experiences." Türk Kolon ve Rektum Hastalıkları Dergisi, 30, ss.268 - 274, 2020. 10.4274/tjcd.galenos.2020.2019-12-5
ISNAD Goksoy, Beslen vd. "Outcomes of Our Laparoscopic Surgery in ColorectalCancer: Our First Experiences". Türk Kolon ve Rektum Hastalıkları Dergisi 30/4 (2020), 268-274. https://doi.org/10.4274/tjcd.galenos.2020.2019-12-5