Evaluasi Tindakan Operatif pada Kanker Serviks, Endometrium, dan Ovarium di RSUP Dr. Hasan Sadikin Bandung Tahun 2015-2016

R. Indriani, M. A. Ritonga, Dodi Suardi
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Abstract

Abstrak Tujuan : Mengetahui hasil luaran tindakan operatif pada kanker serviks, endometrium dan ovarium di RSUP Dr. Hasan Sadikin. Metode : Jenis penelitian dengan mengevaluasi data pasien kanker serviks, endometrium dan ovarium dengan tindakan operatif dari Bagian Rekam Medik RSUP Dr. Hasan Sadikin, Bandung dari Januari 2015−Desember 2016. Variabel yang dievaluasi berupa usia, BMI, paritas, asal kanker, jenis dan komplikasi tindakan operasi. Hasil : Terdapat 560 kasus yang sesuai dengan kriteria inklusi dari Januari 2015−Desember 2016. Nilai tengah usia pasien 45 tahun, dengan 222 pasien (39,6%) memiliki BMI normal dan 413 pasien (73,8%) dengan kanker ovarium. Perdarahan >2000 cc terdapat pada 141 kasus (25,2%). Durasi operasi terbanyak 3−4 jam pada 208 kasus (37,1%). Komplikasi saluran gastrointestinal sebanyak 40 kasus (7,1 %) dan  saluran genitourinaria sebanyak 28 kasus (5%). Nilai tengah length of stay selama 7 hari, dengan 47 pasien (8,4%) memerlukan ICU dan kematian terjadi pada 20 kasus (3,6%). Kesimpulan : komplikasi tersering adalah perdarahan. Tindakan operatif pada kanker serviks lebih berkaitan dengan cedera saluran genitourinaria, sedangkan tindakan operatif pada kanker ovarium lebih berkaitan dengan cedera saluran gastrointestinal. Kata kunci : Kanker ginekologi, operasi dan komplikasi Abstract Objectives : To evaluate the post-operative outcomes in patients with cervical, endometrial, and ovarian cancers in Dr. Hasan Sadikin General Hospital  in 2015−2016. Method :  We retrospectively evaluated cross-sectionally the charts of these three cancer patients who underwent operative procedures from January 2015 to December 2016 in Dr. Hasan Sadikin Hospital. The following study variables were noted for evaluation: age, BMI, parity, cancer origin, type of surgery, and operative complications. Results : A total of 560 oncologic surgery from these three cancers was undertaken and met the inclusion criteria from January 2015 to December 2016. Median age was 45 years old, with 222 (39,6%) patients had normal BMI and 413 (73,8%) patients belonged to ovarian cancer. Operative complications such as bleeding >2000cc were reported in 141 (25,2%) cases. The most common length of surgery time was 3−4 hours in 208 (37,1%) patients. A total of 40 (7,1%) gastrointestinal and 28 (5%) genitourinary tract injuries were encountered. Median length of stay was 7 days, post-operative staying at ICU was  noted in 47 (8,4%) patients and  20 (3,6%)  had intraoperative-related deaths. Conclusion : The most common complication is bleeding.The operative procedure of cervical cancer is more related to injury to the genitourinary tract, while gastrointestinal tract injury mostly occurs in the operative procedure of ovarian cancer Key words : Gynecological oncology, surgery and complication
2016年至2016年哈桑·萨德金·万隆RSUP的宫颈癌、子宫内膜和卵巢的手术评估
摘要目的:了解单独行动的结果特工在宫颈癌,子宫内膜和卵巢RSUP哈桑Sadikin博士。方法:研究类型对病人的评估数据子宫颈癌,子宫内膜,卵巢和特工行动记录部分医务人员RSUP哈桑Sadikin博士,2015年万隆从1−2016年12月。评估年龄、BMI、paritas、癌症的起源、手术类型和并发症的变量。结果:符合条件的案件有560包容从1−2015年2016年12月。病人年龄45岁,中间值与222病人(39,6%)有一个正常BMI和413(73,8%)和卵巢癌。> 2000毫升在141个案例中有出血(25,2%)。手术时长最多3−4个小时在208案例中(37.5%)。40例(7.1%)胃管并发症,28例(5%)。中间值的长度正好呆了七天,47(8,4%)需要重症监护室病人和死亡发生在20例(3.6%)。结论:出血是最常见的并发症。更与受伤的特工在宫颈癌行为genitourinaria频道,而特工在卵巢癌的行为更与胃肠道损伤有关。关键词:妇科癌症,手术并发症抽象Objectives: To evaluate the post-operative outcomes in病人cervical,植入物和ovarian cancers在哈桑博士Sadikin综合医院在2015年2016年−。我们回顾了自2015年1月以来在哈桑萨德金医院进行的这三名癌症病人的手术费用的交叉部分。以下研究结果被评为评估:age、BMI、parity、cancer origin、surgery类型和任务分配。Results: A总共560 oncologic的手术从这些三个cancers是undertaken和大都会歌剧院和《inclusion criteria从2015年1月到2016年12月。中位数年龄是45岁,222(39,6%)病人有正常BMI和413(73,8%)病人belonged to ovarian巨蟹座。2000cc的美国特工complications如此流血>是reported in - 141(25,2%)案子。最常见的手术时间的长度正好是3−4小时在208(37.5%)病人。A总共40(7,1%)的胃肠道和28 (5%)genitourinary tract injuries是encountered。中位数保持的长度正好是7天,post-operative待在重症监护室was noted在47(8,4%)病人和20(3.6%)有intraoperative-related死去的。历史性的:最常见complication是流血。cervical巨蟹座是更多相关之特工违反规定到头部受伤genitourinary》小册子,而胃肠道的小册子《特工违反规定头部受伤基本上occurs ovarian巨蟹座Key words: Gynecological肿瘤学,外科手术和complication
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