A new prognostic marker in patients undergoing Hartmann’s procedure for acute tumoral obstruction of the left colon Akut obstrüktif sol kolon tümörü nedeniyle Hartman prosedürü uygulanan hastalarda yeni bir prognostik belirteç
Ulusal Travma ve Acil Cerrahi Dergisi, cilt.28, sa.9, ss.1248-1257, 2022 (SCI-Expanded, Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 28 Sayı: 9
- Basım Tarihi: 2022
- Doi Numarası: 10.14744/tjtes.2021.67792
- Dergi Adı: Ulusal Travma ve Acil Cerrahi Dergisi
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CINAHL, EMBASE, MEDLINE, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.1248-1257
- Anahtar Kelimeler: Acute abdomen, colon tumor, Hartmann?s procedure, ileus, Laplace?s law, obstructive left -sided colorectal cancer
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
BACKGROUND: In acute obstructive left-sided colorectal cancers (AOLCRC), damage to the colon wall may occur as a result of distension of the colon segments proximal to the tumor. In this study, we aimed to evaluate the relationship between the ratio of dilated colon diameter (CD) to lumbar vertebral corpus diameter on preoperative abdominal computed tomography (CT) scan in patients undergoing Hartmann’s Procedure (HP) and post-operative complications. METHODS: The tumor group consisted of 49 patients who underwent HP for AOLCRC under emergency conditions. The control group consisted of 49 age-and gender-matched individuals (compatible with tumor group) that had an abdominal CT due to pathologies outside the gastrointestinal tract and without a history of abdominal surgery. In both group, the ratios of the CD to the diameter of the first lumbar vertebra corpus (L1-VD) measured on axial CT images of each patient. These ratios were compared between groups. In the tumor group, the relationship between post-operative complications (Clavien-Dindo classification-major (grade ≥III), minor (grade