Oncological surgical outcomes for colorectal cancer surgery with loco-regional anesthesia: A feasibility study.

IF 1.7 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Saudi Medical Journal Pub Date : 2025-01-01 DOI:10.15537/smj.2025.46.1.20240470

Hüseyin Fahri Martlı, Eda Şahingöz, Emre Şimşek, Ayça Tuba Özcan, Efnan Aşık, Sadettin Er, Erdinç Çetinkaya

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引用次数: 0

Abstract

Objectives: To evaluate the pathological outcomes of colorectal cancer (CRC) patients who were unsuitable for general anesthesia and underwent regional anesthesia in terms of their suitability for oncological surgery.

Methods: A total of 53 patients who underwent mesocolicormesorectal surgery under regional anesthesia at Ankara Bilkent City Hospital, Ankara, Turkey, between May 2019 and May 2023 were retrospectively examined. The negative margins of the proximal, distal, and circumferential margins of specimens, as well as the number of lymph nodes removed, were analyzed.

Results: All the patients had clear proximal, distal, and circumferential surgical margins. The median number of lymph nodes removed was 23.45 (min-max: 3-97). When patients (n=24) who received neoadjuvant therapy were excluded, an insufficient number (<12) of lymph nodes were removed in 3 (7.69%) patients. A total of 3 patients died postsurgery, resulting in a 30-day mortality rate of 5.6%.

Conclusion: For elderly and comorbid individuals with CRC, regional anesthesia can be used to carry out surgery with oncological principles.

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结直肠癌局部区域麻醉手术的肿瘤手术效果：可行性研究。

目的：评价不适宜全身麻醉而行区域麻醉的结直肠癌患者在肿瘤手术中的适宜性。方法：回顾性分析2019年5月至2023年5月在土耳其安卡拉的安卡拉比尔肯市医院接受区域麻醉的53例结直肠肠系膜手术患者。分析标本近端、远端和周缘的阴性边缘，以及切除的淋巴结数量。结果：所有患者均有清晰的近端、远端和围手术缘。切除淋巴结中位数为23.45个（最小-最大值为3-97个）。当排除接受新辅助治疗的患者（n=24）时，数量不足(结论：对于老年和合并结直肠癌的个体，可以根据肿瘤学原理采用区域麻醉进行手术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Saudi Medical Journal 医学-医学：内科

CiteScore

2.30

自引率

6.20%

发文量

203

审稿时长

12 months

期刊介绍： The Saudi Medical Journal is a monthly peer-reviewed medical journal. It is an open access journal, with content released under a Creative Commons attribution-noncommercial license. The journal publishes original research articles, review articles, Systematic Reviews, Case Reports, Brief Communication, Brief Report, Clinical Note, Clinical Image, Editorials, Book Reviews, Correspondence, and Student Corner.