Emergency surgery of obstructed carcinoma of the left colon with perforation of the cecum: Colectomy and anastomosis series

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dc.authorid0000-0002-4652-1747en_US
dc.authorid0000-0002-4953-6602en_US
dc.authorid0000-0002-5797-7926en_US
dc.authorid0000-0002-5120-6485en_US
dc.contributor.authorDalbaşı, Erkan
dc.contributor.authorTüzün, Abidin
dc.contributor.authorDurgun, Cemalettin
dc.contributor.authorOğuz, Abdullah
dc.date.accessioned2023-07-24T10:49:16Z
dc.date.available2023-07-24T10:49:16Z
dc.date.issued2023en_US
dc.departmentDicle Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Genel Cerrahi Ana Bilim Dalıen_US
dc.description.abstractAim: The operation of choice for obstructed carcinoma of the left-side colon with perforation on the cecum is controversial. This study evaluated the timing of subtotal/total colectomy in acutely obstructed carcinoma of the left-side colon with perforation on the cecum. Method: Twelve patients with cecal perforation due to obstructed left-side colon tumor were included in this study. The patients were evaluated for age, gender, application time, presence of systemic diseases, Acute Physiology and Chronic Health Evaluation II scores, primary tumor localization, tumor stage, type of surgical operation, Mannheim Peritonitis Index, morbidity, and mortality. Results: Seven adenocarcinomas were localized on the left colon, three were localized on the midsigmoid, and two were localized on the rectosigmoid junction. All patients had a massively distended colon with perforation on the cecum. Seven patients underwent subtotal colectomy, while five patients underwent total colectomy. After the resection, anastomosis was performed using a circular stapler. After anastomosis, loop ileostomy was performed on the right side of the abdomen for all patients for anastomosis safety. Conclusion: This study suggests that resection, anastomosis, and protective loop ileostomy are viable surgical alternatives, even in emergency conditions, if they can be performed together with decompression and peritoneal lavage in the surgical treatment of cecum perforation due to obstructed left colon tumors.en_US
dc.identifier.citationDalbaşı, E., Tüzün, A., Durgun, C. ve Oğuz, A. (2023). Emergency surgery of obstructed carcinoma of the left colon with perforation of the cecum: Colectomy and anastomosis series. Türk Kolon ve Rektum Hastalıkları Dergisi, 33(2), 31-35.en_US
dc.identifier.doi10.4274/tjcd.galenos.2023.2023-1-5
dc.identifier.endpage35en_US
dc.identifier.issn2536-4898
dc.identifier.issn2536-4901
dc.identifier.issue2en_US
dc.identifier.startpage31en_US
dc.identifier.trdizinid1182837
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/1182837
dc.identifier.urihttps://hdl.handle.net/11468/12231
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/1182837
dc.identifier.volume33en_US
dc.indekslendigikaynakTR-Dizin
dc.institutionauthorOğuz, Abdullah
dc.language.isoenen_US
dc.publisherTürk Kolon ve Rektum Cerrahisi Derneğien_US
dc.relation.ispartofTürk Kolon ve Rektum Hastalıkları Dergisi
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCecum perforationen_US
dc.subjectColectomyen_US
dc.subjectLeft colonen_US
dc.subjectTumor obstructionen_US
dc.titleEmergency surgery of obstructed carcinoma of the left colon with perforation of the cecum: Colectomy and anastomosis seriesen_US
dc.titleEmergency surgery of obstructed carcinoma of the left colon with perforation of the cecum: Colectomy and anastomosis series
dc.typeArticleen_US

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