Minimally invasive surgery for the management ofiatrogenic colon perforation in the elderly
Yazarlar (6)
Hasan Dagmura
Türkiye
Türkiye
Doç. Dr. Emin Daldal Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Dr. Öğr. Üyesi Hüseyin Bakır Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Ahmet Akbaş
Doç. Dr. Mehmet Fatih DAŞIRAN Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Prof. Dr. İsmail Okan Tokat Gaziosmanpaşa Üniversitesi, Türkiye
| Makale Türü |
Özgün Makale
(Uluslararası alan indekslerindeki dergilerde yayınlanan tam makale)
|
||
| Dergi Adı | Annals of Medical Research | ||
| Dergi ISSN | 1300-1744 | ||
| Dergi Tarandığı Indeksler | index copernicus, EBSCO, Google scholar, BiblioMed | ||
| Makale Dili | İngilizce | Basım Tarihi | 10-2020 |
| Cilt / Sayı / Sayfa | 27 / 10 / 2713–2718 | DOI | 10.5455/annalsmedres.2020.04.400 |
| Makale Linki | http://www.annalsmedres.org/articles/2020/volume27/issue10/2713-2718.pdf | ||
| UAK Araştırma Alanları |
Genel Cerrahi
|
||
| Özet |
| Aim: Colonoscopy is the most commonly used diagnostic tool for screening for colorectal cancer in asymptomatic individuals and for surveillance in patients with a history of colonic disease. The procedure has several drawbacks, including acute colon perforation. As elderly individuals with aging immune systems frequently respond inadequately to physiologic stress, this lifethreatening complication requires meticulous management in this patient cohort. We aimed to evaluate a minimally invasive surgical approach to iatrogenic colon perforation (ICP) in this vulnerable age group. Material and Methods: This is a retrospective study. We reviewed data from all patients≥ 65 years of age diagnosed with iatrogenic colon perforation (ICP) between January 2012 and June 2019 at Gaziosmanpaşa University Hospital.Results: Seventeen cases of ICP were identified (mean age was 76.5 years); 16 patients were treated surgically and one was managed conservatively. The most frequent site of perforation was the sigmoid colon (58.8%) and surgical management was primarily laparoscopic (93.7%). Twelve of the 16 patients who were managed with surgical intervention underwent laparoscopic primary repair and three patients underwent laparoscopic colectomy due to a primary diagnosis of colorectal malignancy. One patient with delayed diagnosis underwent laparotomy and proctosigmoidectomy (Hartmann procedure); this patient did not survive beyond the immediate post-operative period.Conclusion: Our findings suggest that early recognition is critical for the successful treatment of ICP in the elderly. Most patients respond well to a minimally invasive … |
| Anahtar Kelimeler |
BM Sürdürülebilir Kalkınma Amaçları
| Atıf Sayıları | |
| Google Scholar | 2 |