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SM ISO690:2012 URSU, Alexandr, ŞCERBATIUC-CONDUR, Corina, GURGHIŞ, Radu, GAGAUZ, Ion, ROJNOVEANU, Gheorghe. Complicațiile postoperatorii precoce în cancerul colorectal operat în urgență. In: Congresul Național al Societății Române de Coloproctologie, 14-16 martie 2019, Iași. Iași, România: Editura "Gr. T. Popa" Iași, 2019, pp. 236-237. |
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Congresul Național al Societății Române de Coloproctologie 2019 | ||||||
Congresul "Congresul Național al Societății Române de Coloproctologie" Iași, Romania, 14-16 martie 2019 | ||||||
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Pag. 236-237 | ||||||
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Rezumat | ||||||
Introducere: Cancerul colorectal (CCR) operat în urgență, prezintă încă rate înalte de morbiditate Introduction: Colorectal cancer operated in emergency, still has high rates of morbidity and |
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Cuvinte-cheie cancer colorectal complicat, tratament de urgență, complicații postoperatorii, complicated colorectal cancer, emergency surgical treatment, postoperative complications |
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Cerif XML Export
<?xml version='1.0' encoding='utf-8'?> <CERIF xmlns='urn:xmlns:org:eurocris:cerif-1.5-1' xsi:schemaLocation='urn:xmlns:org:eurocris:cerif-1.5-1 http://www.eurocris.org/Uploads/Web%20pages/CERIF-1.5/CERIF_1.5_1.xsd' xmlns:xsi='http://www.w3.org/2001/XMLSchema-instance' release='1.5' date='2012-10-07' sourceDatabase='Output Profile'> <cfResPubl> <cfResPublId>ibn-ResPubl-144572</cfResPublId> <cfResPublDate>2019</cfResPublDate> <cfStartPage>236</cfStartPage> <cfISBN></cfISBN> <cfURI>https://ibn.idsi.md/ro/vizualizare_articol/144572</cfURI> <cfTitle cfLangCode='RO' cfTrans='o'>Complicațiile postoperatorii precoce în cancerul colorectal operat în urgență</cfTitle> <cfKeyw cfLangCode='RO' cfTrans='o'>cancer colorectal complicat; tratament de urgență; complicații postoperatorii; complicated colorectal cancer; emergency surgical treatment; postoperative complications</cfKeyw> <cfAbstr cfLangCode='RO' cfTrans='o'><p>Introducere: Cancerul colorectal (CCR) operat în urgență, prezintă încă rate înalte de morbiditate<br />şi mortalitate. Rezecţia colonului este o intervenţie laborioasă, agresivă, cu riscuri mari de<br />complicaţii în perioada postoperatorie imediată.<br />Scopul: Analiza complicațiilor postoperatorii în chirurgia cancerului colorectal complicat, operat<br />în urgență.<br />Material și metode: Studiu retrospectiv pe 98 de pacienți cu CCR operați de urgență, în IMU<br />(Chișinău), perioada 2015-2017. B:F= 1.1:1, vârsta medie – 63.96±1.34ani, sediul tumorii: colon drept<br />– 25 (25.5%), transvers – 9 (9.18%), stâng – 64 (64.94%), (p < 0.01). Cu ocluzie intestinală acută (OIA)<br />și peritonită au fost 22 (22.44%), inclusiv 9 (9.18%) cu perforație, operați în primele 8h; OIA – 25<br />(25.5%) la 8-24h; sindrom subocluziv – 43 (43%) și hemoragie – 8 (8.2%), la 2-5 zile. S-au efectuat<br />anastomoze primare –68 (69.38%), derivaţii externe – 30 (30.61%).<br />Rezultate: Rata totală a complicațiilor postoperatorii a constituit 65.3%. Complicații comune<br />intervențiilor chirurgicale abdominale specifice chirurgiei cancerului colonic au fost 20 (31.25%):<br />dehiscențe anastomotice – 3 (4.4%), abcese parastomale – 2 (6.6%), retracția stomei – 2 (6.6%),<br />necroza stomei – 2 (6.6%), dehiscența bontului rectal – 1 (3.3%), eviscerație parastomală – 1 (3.3%),<br />eventrația plăgii – 3 (3.1%), supurarea plăgii – 6 (6.12%). Complicații postoperatorii generale – 44<br />(68.75%) cazuri, tanatogeneza fiind determinată de pneumonii – 6 (6.1%), MODS – 5 (5.1%),<br />insuficiență cardiacă – 12 (12.2%), infecții urinare – 10 (10.2%), edem pulmonar – 4 (4.1%), TEAP – 7<br />(7.15%).<br />Concluzii: Complicaţiile postoperatorii specifice chirurgiei colonului sunt în mare parte<br />caracteristice intervenţiilor chirurgicale practicate în urgenţă, pe când cele generale<br />determinate de terenul biologic al pacientului: vârstă, comorbidități, risc operator ASA.</p></cfAbstr> <cfAbstr cfLangCode='EN' cfTrans='o'><p>Introduction: Colorectal cancer operated in emergency, still has high rates of morbidity and<br />mortality. The resection of the colon is a laborious, aggressive intervention with high risk of<br />complications occurring both in the immediate postoperative period.<br />Objective: Determination of postoperative complications of complicated colorectal cancer<br />operated in emergency. Material and methods: Retrospective study of 98 patients with CCR<br />operated in Emergency Hospital Chisinau, between 2015-2017. Ratio M:F = 1.1:1, mean age –<br />63.96±1.34 years, with tumor localization : right-sided – 25 (25.5%), transvers – 9 (9.18%), left-sided<br />– 64 (64.94%), (p < 0.01). 22 (22.44%) patients had intestinal obstruction (IO) and peritonitis, 9<br />(9.18%) of them with perforation, operated within 8h; with IO – 25 (25.5%), over 8-24h; with partial<br />obstruction – 43 (43%), bleeding – 8 (8.2%), over 2-5 days. Have been applied: primary anastomosis<br />– 68 (69.38%), colostomy – 30 (30.61%).<br />Results: The total rate of postoperative complications was 65.3%. Complications common to<br />abdominal surgery and specific for colon cancer were 20: anastomotic leak – 3 (4.4%), peristomal<br />abscess – 2 (6.6%), stoma retraction – 2 (6.6%), stoma necrosis – 2 (6.6%), rectal stump leak – 1 (3.3%),<br />parastomal evisceration – 1 (3.3%), laparotomic wound eventration – 3(3.1%), laparotomic wound<br />suppuration – 6 (6.12%). General postoperative complications occurred in 44 cases, tanatogenesis<br />being determined by: pneumonia – 6 (6.1%), MODS– 5 (5.1%), heart failure –12 (12.2%), urinary<br />infections –10(10.2%), pulmonary edema – 4 (4.1%), TEAP –7 (7.15%).<br />Conclusion: Postoperative complications specific to colon surgery are largely characteristic for<br />emergency surgery, while the general is determinated of the patient's biological terrain: age,<br />comorbidities, ASA operator risk.</p></cfAbstr> <cfResPubl_Class> <cfClassId>eda2d9e9-34c5-11e1-b86c-0800200c9a66</cfClassId> <cfClassSchemeId>759af938-34ae-11e1-b86c-0800200c9a66</cfClassSchemeId> <cfStartDate>2019T24:00:00</cfStartDate> </cfResPubl_Class> <cfResPubl_Class> <cfClassId>e601872f-4b7e-4d88-929f-7df027b226c9</cfClassId> <cfClassSchemeId>40e90e2f-446d-460a-98e5-5dce57550c48</cfClassSchemeId> <cfStartDate>2019T24:00:00</cfStartDate> </cfResPubl_Class> <cfPers_ResPubl> <cfPersId>ibn-person-45926</cfPersId> <cfClassId>49815870-1cfe-11e1-8bc2-0800200c9a66</cfClassId> <cfClassSchemeId>b7135ad0-1d00-11e1-8bc2-0800200c9a66</cfClassSchemeId> <cfStartDate>2019T24:00:00</cfStartDate> </cfPers_ResPubl> <cfPers_ResPubl> <cfPersId>ibn-person-72309</cfPersId> <cfClassId>49815870-1cfe-11e1-8bc2-0800200c9a66</cfClassId> <cfClassSchemeId>b7135ad0-1d00-11e1-8bc2-0800200c9a66</cfClassSchemeId> <cfStartDate>2019T24:00:00</cfStartDate> </cfPers_ResPubl> <cfPers_ResPubl> <cfPersId>ibn-person-13465</cfPersId> <cfClassId>49815870-1cfe-11e1-8bc2-0800200c9a66</cfClassId> <cfClassSchemeId>b7135ad0-1d00-11e1-8bc2-0800200c9a66</cfClassSchemeId> <cfStartDate>2019T24:00:00</cfStartDate> </cfPers_ResPubl> <cfPers_ResPubl> <cfPersId>ibn-person-11082</cfPersId> <cfClassId>49815870-1cfe-11e1-8bc2-0800200c9a66</cfClassId> <cfClassSchemeId>b7135ad0-1d00-11e1-8bc2-0800200c9a66</cfClassSchemeId> <cfStartDate>2019T24:00:00</cfStartDate> </cfPers_ResPubl> <cfPers_ResPubl> <cfPersId>ibn-person-11555</cfPersId> <cfClassId>49815870-1cfe-11e1-8bc2-0800200c9a66</cfClassId> <cfClassSchemeId>b7135ad0-1d00-11e1-8bc2-0800200c9a66</cfClassSchemeId> <cfStartDate>2019T24:00:00</cfStartDate> </cfPers_ResPubl> </cfResPubl> <cfPers> <cfPersId>ibn-Pers-45926</cfPersId> <cfPersName_Pers> <cfPersNameId>ibn-PersName-45926-2</cfPersNameId> <cfClassId>55f90543-d631-42eb-8d47-d8d9266cbb26</cfClassId> <cfClassSchemeId>7375609d-cfa6-45ce-a803-75de69abe21f</cfClassSchemeId> <cfStartDate>2019T24:00:00</cfStartDate> <cfFamilyNames>Ursu</cfFamilyNames> <cfFirstNames>Alexandr</cfFirstNames> </cfPersName_Pers> </cfPers> <cfPers> <cfPersId>ibn-Pers-72309</cfPersId> <cfPersName_Pers> <cfPersNameId>ibn-PersName-72309-2</cfPersNameId> <cfClassId>55f90543-d631-42eb-8d47-d8d9266cbb26</cfClassId> <cfClassSchemeId>7375609d-cfa6-45ce-a803-75de69abe21f</cfClassSchemeId> <cfStartDate>2019T24:00:00</cfStartDate> <cfFamilyNames>Щербатюк-Кондур</cfFamilyNames> <cfFirstNames>Корина</cfFirstNames> </cfPersName_Pers> </cfPers> <cfPers> <cfPersId>ibn-Pers-13465</cfPersId> <cfPersName_Pers> <cfPersNameId>ibn-PersName-13465-2</cfPersNameId> <cfClassId>55f90543-d631-42eb-8d47-d8d9266cbb26</cfClassId> <cfClassSchemeId>7375609d-cfa6-45ce-a803-75de69abe21f</cfClassSchemeId> <cfStartDate>2019T24:00:00</cfStartDate> <cfFamilyNames>Гургиш</cfFamilyNames> <cfFirstNames>Раду</cfFirstNames> </cfPersName_Pers> </cfPers> <cfPers> <cfPersId>ibn-Pers-11082</cfPersId> <cfPersName_Pers> <cfPersNameId>ibn-PersName-11082-2</cfPersNameId> <cfClassId>55f90543-d631-42eb-8d47-d8d9266cbb26</cfClassId> <cfClassSchemeId>7375609d-cfa6-45ce-a803-75de69abe21f</cfClassSchemeId> <cfStartDate>2019T24:00:00</cfStartDate> <cfFamilyNames>Гагауз</cfFamilyNames> <cfFirstNames>Ион</cfFirstNames> </cfPersName_Pers> </cfPers> <cfPers> <cfPersId>ibn-Pers-11555</cfPersId> <cfPersName_Pers> <cfPersNameId>ibn-PersName-11555-2</cfPersNameId> <cfClassId>55f90543-d631-42eb-8d47-d8d9266cbb26</cfClassId> <cfClassSchemeId>7375609d-cfa6-45ce-a803-75de69abe21f</cfClassSchemeId> <cfStartDate>2019T24:00:00</cfStartDate> <cfFamilyNames>Рожновяну</cfFamilyNames> <cfFirstNames>Георгий</cfFirstNames> </cfPersName_Pers> </cfPers> </CERIF>