The Evaluation of Patients Operated Due to Colorectal Cancer Kolorektal Kanserler / Colorectal Cancers

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Objective: The presention of Recep Tayyip Erdoğan University Medical Faculty Department Of General Surgery Clinic’s cases that were operated for colorectal cancer and to discuss them in accompany with the current literature. Material and Methods: In Recep Tayyip Erdoğan University Medical Faculty Department Of General Surgery Clinic, between 2008 and 2013, the records of 138 patients operated for colorectal cancer were investigated retrospectively. Patients’ age, gender, tumor localization, ASA values, complications,and histopathological examination of tumor and its stage were recorded. Results: 85 (61.6%) of the patients were men and 53 (38.4%) were women.When the cases were assessed according to tumor localization, they were in the rectosigmoid region 20 (14.5%), sigmoid colon 39 (28.2%), descending colon 16 (11.6%), transverse colon 3 (2.2%), ascending colon 9 (6.5%) and cecum 20 (14.5%). Low anterior resection to 45 (32.6%), left hemicolectomy to 43 (31.1%), right hemicolectomy to 29 (21%), Hartmann procedure to 9 (6.5%), abdominoperineal resection to 6 (4.3%), transverse colectomy to 3 (2.2%) and total proctocolectomy to 3 (2.2%) of those patients were performed. In 4 (2.9%) patients, complications developed intraoperatively, and in 40 (29%) postoperatively. While no intraoperative mortality was observed, 4 (2.9%) patients were recorded in the postoperative period. Tumor stage is important factor during diagnosis of colorectal cancer. As a result of staging postoperative specimens, 5 (3.6%) patient in stage I, 22 patient (15.9%) in stage II, 79 patient (57.2%) in stage III, and 32 patient (23.3%) in stage IV were determined. Conclusion: While the most important prognostic factor in colorectal cancer is tumor stage, patients in our country are generally diagnosed in advanced stages. This also causes increase in morbidity and mortality. We think determining thecolorectal cancers in early phases can be performed by country-wide generalization of routine scanning programmes and raising of consciousness in the community together with places giving primary care health service.

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Colorectal cancer , age , surgical treatment , tumor stage , complication , scanning program

Kocatepe Medical Journal

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Kocatepe Medical Journal