Amina Lučkin, M. Kati̇ca, R. Mohamed, Elmedina Mrkulić, Alma Mizdrak, Almedina Alihodžić
{"title":"Ulcus Diabetica Hallucis Pedis: The Importance of Timely Treatment.","authors":"Amina Lučkin, M. Kati̇ca, R. Mohamed, Elmedina Mrkulić, Alma Mizdrak, Almedina Alihodžić","doi":"10.32391/ajtes.v7i1.305","DOIUrl":"https://doi.org/10.32391/ajtes.v7i1.305","url":null,"abstract":"Introduction. Diabetes mellitus represent a global problem in public health, and the incidence of diabetic foot is constantly increasing Patients with diabetes have a tendency to infections, due to previously present neuropathy, vascular insufficiency, as well as neutrophil dysfunction. The most important risk factor is the existence of peripheral neuropathy, and it is present in 30% to 50% of patients with diabetes. The foot becomes sensitive to trauma as a result of sensory, motor and autonomic dysfunction, and there is excessive pressure in the deformed foot, also the development of ischemia. \u0000Case report. A 59-year-ol male patient sought medical help at the Clinic of Emergency Medicine of the Clinical Center in Sarajevo. He had edematous ulcers on the foot of his right leg. On the first day of therapy, the antibiotic amoxicillin + clavulanic acid, 875/125 mf film-coated tablets were included. Ulcerative formation on the injured finger healed relatively slowly in the first five days of therapy, so from the sixth day of therapy, another broad-spectrum antibiotic per os was included, for synergistic effects: metronidazole 500 mg tablets. On the tenth day of the therapy, visible progress was observed in the healing of the injured finger. Ultimately, the treatment of the injured finger was completed routinely and successfully. \u0000Conclusion. Identification of risk factors as well as patients’ education is an important prerequisite for the prevention of complications arising from the chronic course of diabetes. \u0000Early initiation of treatment, with an adequate multidisciplinary approach, can cure ulcerative, inflammatory diabetic foot, which in our case corresponded to the Wagner-Meggitt classification, superficial ulcer, with a corresponding gradation 1.","PeriodicalId":32905,"journal":{"name":"Albanian Journal of Trauma and Emergency Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41447872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Percutaneous Achilles Tenotomy in Idiopathic Clubfoot treatment","authors":"E. Selmani, J. Ruci, Arben Gjonej","doi":"10.32391/ajtes.v7i1.301","DOIUrl":"https://doi.org/10.32391/ajtes.v7i1.301","url":null,"abstract":"Introduction; Percutaneous Achilles tenotomy is a standard procedure in most clubfoot patients treated with Ponseti method as the most widely use method of conservative clubfoot treatment. To our knowledge, there are not studies published in Albanian literature about this technique. Our goal is to present results of conservative treatment of idiopathic clubfoot where this technique was performed. \u0000Material and Method. This is a prospective study of all idiopathic clubfoot patients treated in our Institution with Ponseti Method. We performed this technique under sedation anesthesia in operation room, not in clinic. We measured age of patient at time of presentation, gravity according to Pirani score, number of casting, need for Achilles tenotomy). \u0000We measured the degree of angle of dorsiflexion before and after this procedure, the gravity and need for a second procedure. \u0000Results: Out 400 clubfeet treated during 2005-2010 we included in our study 372 case that needed the percutaneous Achilles tenotomy performed. Average age at presentation was 3 weeks. Average Pirani score was 5.5. The number of weekly serial cast needed before the tenotomy was 8. Dorsiflexion angle after this procedure was improved by 45 degree (range from 30 to 90 degree). Only 2 cases needed reoperation due to non-compliance with foot abduction bar and physiotherapy \u0000Conclusion: The percutaneous Achilles tenotomy is used in 93% of case with idiopathic clubfoot serie of patient. It is an easy technique performed with sedation anesthesia in operation room not with local anesthesia. Achilles tenotomy is an important element to avoid recurrence This supports other studies that have used this method.","PeriodicalId":32905,"journal":{"name":"Albanian Journal of Trauma and Emergency Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47951272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Surgical Treatment of uncomplicated Pilonidal Sinus with the simple Closed Technique.","authors":"E. Bollano, Krenar Lilaj, Dariel Thereska","doi":"10.32391/ajtes.v7i1.324","DOIUrl":"https://doi.org/10.32391/ajtes.v7i1.324","url":null,"abstract":"Introduction; The pilonidal sinus represents a benign cystic formation located between the skin and the coccygeal bone in the mediogluteal line. It was first described in 1833 by Herbert Mayo and R.M Hodges. \u0000It is thought that the cause is the penetration of hair into the subcutaneous intergluteal area. This pathology is the result of an inflammatory expansion of the hair follicle accompanied by the expansion of the fatty glands and sweat. \u0000The purpose of the study: To evaluate our results in the treatment of this pathology with the technique above and to compare them with the results of similar works referred to in the world literature. \u0000Materials and Method; In our study are recorded 60 patients, diagnosed with uncomplicated and previously unoperated sacrococcygeal fistula were included in the study. Divided by sex, 43 men and 17 women. The average age of our patients was 29.5 years (18-41 years). The time period of the study extends from January 2015 - March 2019… \u0000Results; All patients suffered from the chronic phase of pilonidal disease. The intervention was carried out with the help of spinal anesthesia by injecting 2 ml of 2% sol lidocaine in the L 3-L4 space. During the intervention, two grams of intravenous cephalosporin are applied. Interventions are performed by placing the patient in a ventral position with leucoplasts gluteal diversion. \u0000Conclusion; The presence of hair inside the pilonidal sinus is a reason in favor of the acquired theory regarding the pathogenesis. In our study, only one patient referred to heredity related to pathology. The duration of the intervention depends on the skills of the surgeon and the difficulty of the pathology. The hospitalization was determined by postoperative complications.","PeriodicalId":32905,"journal":{"name":"Albanian Journal of Trauma and Emergency Surgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41358121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Memeti, L. Todorović, Marjan Kamiloski, T. Risteski, Natalia Coklevska Shuntov, Njomza Lumani Bakiji, Sanja Gjorikj
{"title":"Epidemiology, Evaluation and Surgical Treatment of undescended Testis in North Macedonia in the Period from 2011 to 2020.","authors":"S. Memeti, L. Todorović, Marjan Kamiloski, T. Risteski, Natalia Coklevska Shuntov, Njomza Lumani Bakiji, Sanja Gjorikj","doi":"10.32391/ajtes.v7i1.317","DOIUrl":"https://doi.org/10.32391/ajtes.v7i1.317","url":null,"abstract":"Background; Cryptorchidism or undescended testis (UDT) is one of the most common pediatric disorders of the male endocrine glands and the most common genital disorder identified at birth. The main reasons for treatment of cryptorchidism include increased risks of impairment of fertility potential, testicular malignancy, testis torsion, and/or associated inguinal hernia \u0000Material and Methods; The aim of this study is to show the epidemical distribution of this pathology in the republic of North Macedonia from 2011-2020 and simultaneously show the number of cases in every city of Macedonia. The number of cases (by city) is shown in Table 1. \u0000All data is provided by the archives of The Institute of Public Health, North Macedonia. \u0000Discussion: It is very important to find if there is a correlation between the number of undescended testis cases in North Macedonia to the environment, genetics, level of education, level of health care institutions, etc. \u0000Reduced hormonal levels, reduced fertility and increased risk of testicular cancer are the most common side effects of no treatment or late treatment. \u0000Conclusion; This condition of the undescended testis is very common, and the possible effects of late treatment or no treatment at all are very risky. So, we have to pay attention to the risks in order to try to provide better treatment at the right point of age.","PeriodicalId":32905,"journal":{"name":"Albanian Journal of Trauma and Emergency Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48069882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Fagu, Ormir Shurdha, Nevila Çaushi, Ketjon Menkshi, Dervish Hasi, M. Siqeca
{"title":"Minimally Invasive Coronary Revascularization. Technical Aspects and Current Results","authors":"A. Fagu, Ormir Shurdha, Nevila Çaushi, Ketjon Menkshi, Dervish Hasi, M. Siqeca","doi":"10.32391/ajtes.v7i1.296","DOIUrl":"https://doi.org/10.32391/ajtes.v7i1.296","url":null,"abstract":"Coronary artery bypass surgery has been for decades the gold standard for the treatment of coronary artery disease, especially in patients with 3-vessel disease. Despite the excellent results achieved through the application of this technique, problems related to median sternotomy and the use of cardiopulmonary bypass such as wound infections and cerebral stroke still play an important role in the postoperative course of these patients. Minimally invasive coronary revascularization techniques aim at reducing the rate of such complications while offering the same quality of revascularization. \u0000Minimally invasive coronary surgery includes a set of coronary revascularization techniques that are completed without the use of cardiopulmonary bypass or through a left mini-thoracotomy at the level of the 4th or 5th intercostal space and aim at reducing the level of the aforementioned complications compared to the standard technique. Hybrid coronary revascularization is an alternative approach that combines surgical revascularization with percutaneous coronary interventions to extend the treatment spectrum even further. Through the application of these techniques, surgeons aim at minimizing the risk of infection of the surgical wound and significantly reduce the number of post-operative cerebral strokes. Also, numerous studies have shown that minimally invasive coronary surgery can offer better results in terms of duration of the mechanical ventilation, length of stay in intensive care, transfusions of blood products and consequently in reducing treatment costs. \u0000Minimally invasive revascularization techniques are not only an important alternative to standard coronary surgery, but in the near future will constitute the standard treatment for this group of patients. This article aims to describe the techniques used to achieve minimally invasive coronary revascularization and to highlight the outcomes of the different approaches.CABG,","PeriodicalId":32905,"journal":{"name":"Albanian Journal of Trauma and Emergency Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47108217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Serdar Hekimsoy, Münire Hande Gölgeli, Nefise Büşra Çelik, A. U. Seyhan
{"title":"The Prediction of the Increase in intracranial Pressure in Stroke Patients Given Recombinant Tissue Plasminogen Activator by Measuring the optic Nerve Sheath Diameter on bedside Ultrasound.","authors":"Serdar Hekimsoy, Münire Hande Gölgeli, Nefise Büşra Çelik, A. U. Seyhan","doi":"10.32391/ajtes.v7i1.313","DOIUrl":"https://doi.org/10.32391/ajtes.v7i1.313","url":null,"abstract":"Background: The aim of this study is based on the effects of the treatment, the recombinant tissue plasminogen activator (rTPA), applied to stroke patients in Emergency Departments (ED) by intravenous, to optic nerve sheath diameter (ONSD) measurements. \u0000Material and Methods: The study was designed as prospective and observational. A total of 41 patients were included in this study with the following diagnoses: an acute clinical stroke, known well-being within 4.5 hours, and who had a finding for rTPA. Ultrasonographic (USG) ONSD measurements have been performed on a voluntary basis with the consent of the patients and their relatives. \u0000Results: A statistically significant difference has been found between the ONSDs measured at the 0th, 15th, 30th and 60th minutes of the patients who were admitted to the ED and were on rTPA treatment due to stroke (p<0.05). Due to a large number of positive differences, the ONSD at the 15th, 30th, and 60th minutes was found higher than at the 0th minute. A statistically significant difference has also been found between ONSD measured at the 15th, 30th, and 60th minutes during rTPA treatment (p<0.05). Since the existence of a large number of positive differences, the ONSD at the 30th and 60th minutes is found to be higher than at the 15th minute. Finally, the difference of statistically significant values between the 30th and 60th-minute ONSD was determined by the Sign Test. According to the result of the Sign Test, a statistically significant difference was found to be between the ONSD differences of the 30th and 60th minutes of rTPA treatment (p<0.05). \u0000Conclusions: Serial ONSD measurements performed at the bedside during the early stage in order to follow up on the intracranial complications of stroke patients may be misleading for the follow-up of complications within the first 60 minutes, which is the most critical stage. In this stage, symptom monitoring should be used in combination with ONSD and the decision should be made for treatment continues, accordingly.","PeriodicalId":32905,"journal":{"name":"Albanian Journal of Trauma and Emergency Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49658419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Dogjani, A. Gjata, Xheladin Draçini, E. Çeliku, Carlos Mesquita, J. Puyana, M. Zago, H. Hauser, Michael Pfeiffer, Valon M. Baraliu, K. Haxhirexha, A. Dibra, A. Beqiri, K. Karavdić, A. Celik, I. Hasani, B. Sakakushev, E. Bollano, H. Kolani, Krenar Lilaj, E. Selmani, E. Aytaç, F. Mulita, N. Arslani, Myzafer Kaçaj, G. Verras, E. Liolis, I. Maroulis, I. Perdikaris, L. Tchabashvili, P. Perdikaris, Dariel Thereska, Admir Mustafa, Elona Markeci, Arta Karruli, Elona Çiku, I. Vishi, Elmas Shaqiri, Amarildo Blloshmi, A. Veves, J. Ruci, Rabit Sadiku, Xhevdet Tahiraj, Skender Shabani, Leutrim Shabani, Bledi Masati, H. Tanaj, Georgi Gelov, A. Llukaçaj, M. Ceno, D. Berger, Dietmar NV Paul, Ilir Shani, A. Ibrahimi, S. Kuçi, E. Bejko, Stavri Llazo, A. Veshti, S. Loggos, Sokol Xhepa, J. Burimi, E. Rista, M. Naço, P. Prifti, A. Fagu, M. Belba, K. Kadesha, Natasha Merko, S. Zatriqi, E. Fekaj, Liri Ҫuko, Ardiana Sinani, Dorela Vasha, E. Muço, Eva Filaj, Vilma Cadri, S. Mumajesi, R. Domi, Elida Agaci, Besnik Filaj, Driola
{"title":"The 6th Albanian Congress of Trauma and Emergency Surgery","authors":"A. Dogjani, A. Gjata, Xheladin Draçini, E. Çeliku, Carlos Mesquita, J. Puyana, M. Zago, H. Hauser, Michael Pfeiffer, Valon M. Baraliu, K. Haxhirexha, A. Dibra, A. Beqiri, K. Karavdić, A. Celik, I. Hasani, B. Sakakushev, E. Bollano, H. Kolani, Krenar Lilaj, E. Selmani, E. Aytaç, F. Mulita, N. Arslani, Myzafer Kaçaj, G. Verras, E. Liolis, I. Maroulis, I. Perdikaris, L. Tchabashvili, P. Perdikaris, Dariel Thereska, Admir Mustafa, Elona Markeci, Arta Karruli, Elona Çiku, I. Vishi, Elmas Shaqiri, Amarildo Blloshmi, A. Veves, J. Ruci, Rabit Sadiku, Xhevdet Tahiraj, Skender Shabani, Leutrim Shabani, Bledi Masati, H. Tanaj, Georgi Gelov, A. Llukaçaj, M. Ceno, D. Berger, Dietmar NV Paul, Ilir Shani, A. Ibrahimi, S. Kuçi, E. Bejko, Stavri Llazo, A. Veshti, S. Loggos, Sokol Xhepa, J. Burimi, E. Rista, M. Naço, P. Prifti, A. Fagu, M. Belba, K. Kadesha, Natasha Merko, S. Zatriqi, E. Fekaj, Liri Ҫuko, Ardiana Sinani, Dorela Vasha, E. Muço, Eva Filaj, Vilma Cadri, S. Mumajesi, R. Domi, Elida Agaci, Besnik Filaj, Driola ","doi":"10.32391/ajtes.v6i2.6.307","DOIUrl":"https://doi.org/10.32391/ajtes.v6i2.6.307","url":null,"abstract":"After a three-year quarantine from the deadliest global pandemic of the last century, ASTES is organizing to gather all health professionals in Tirana, The 6th Albanian Congress of Trauma and Emergency Surgery(ACTES 2022) on 11-12 November 2022, with the topic Trauma & Emergency Surgery and not only...with the aim of providing high quality, the best standards, and the best results, for our patients ...ACTES 2022 is the largest event that ASTES (Albanian Society for Trauma and Emergency Surgery) has organized so far with 230 presentations, and 67 foreign lecturers with enviable geography, making it the largest national and wider scientific event.The scientific program is as strong as ever, thanks to the inclusiveness, where all the participants with a mix of foreign and local lecturers, select the best of the moment in medical science, innovation, and observation.The scientific committee has selected all the presentations so that the participants of each medical discipline will have something to learn, discuss, debate, and agree with updated methods, techniques, and protocols.I hope you will join us on Friday morning, and continue the journey of our two-day event together.","PeriodicalId":32905,"journal":{"name":"Albanian Journal of Trauma and Emergency Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49449302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Zeka, Marsela Goga, S. Kuçi, A. Ibrahimi, E. Bejko, Krenar Lilaj
{"title":"Perioperative Management in a Patient with WPW Syndrome undergoing Plastic Surgery.","authors":"M. Zeka, Marsela Goga, S. Kuçi, A. Ibrahimi, E. Bejko, Krenar Lilaj","doi":"10.32391/ajtes.v6i2.287","DOIUrl":"https://doi.org/10.32391/ajtes.v6i2.287","url":null,"abstract":"Perioperative management of patients with preexcitation may become quite challenging, especially if there is no time for adequate preoperative investigation and clinical optimisation, as in emergencies, or even worse, in undiagnosed cases. It is possible that the poorly controlled or unknown underlying electrophysiological abnormality will become unmasked during anaesthesia and surgery, giving rise to potentially life-threatening arrhythmias. \u0000In the literature, pre-excitation syndromes have been mainly approached from the view of the disease (i.e., presentation, diagnosis, treatment), while anaesthetic data are scarce. \u0000This case report aims to focus on the perioperative management of patients with WPW. \u0000Conclusion; Managing such cases provides an opportunity to revisit important considerations on Wolff-Parkinson-White syndrome Avoiding neuromuscular blockers may make a difference in avoiding arrhythmias when laryngeal mask airway / general anaesthesia is required in patients with Wolff-Parkinson-White syndrome. Sympathetic stimulation should be avoided as it may shorten the refractory period of AP and alleviate life-threatening arrhythmias.","PeriodicalId":32905,"journal":{"name":"Albanian Journal of Trauma and Emergency Surgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41593913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Transarterial Chemoembolization in Hepatocellular Carcinoma, Albanian Experience.","authors":"I. Laçi, A. Spahiu","doi":"10.32391/ajtes.v6i2.291","DOIUrl":"https://doi.org/10.32391/ajtes.v6i2.291","url":null,"abstract":"Liver cancer is the sixth most common cancer worldwide in terms of the number of cases (626,000 or 5.7% of new cancer cases) but due to the very poor prognosis, the number of deaths is nearly similar (598,000). The survival rate is 3% to 5% in cancer registries for the United States and developing countries. The modality of treatment in hepatocellular carcinoma (HCC) patients depends on the stage of the disease. The Barcelona Clinic Liver Cancer Classification (BCLC) is the favorite staging system. There are many patients who initially present with the intermediate-stage disease, and in this setting transarterial chemoembolization (TACE) is the treatment of choice. \u0000The purpose of this article is to highlight and discuss the role of chemoembolization in the treatment of hepatocellular carcinoma, including the results of recent large studies, and the concept of combined therapies, illustrating our case. \u0000The differences in individual factors that are not captured by the BCLC framework, such as the tumor growth pattern, degree of hypervascularity, and vascular supply, complicate the further evaluation of these patients. Because of these differences, not all patients benefit equally from TACE. Several tools have been devised to aid the decision-making process which have shown promising initial results but have failed external evaluation and have not been translated to the clinical aspects. Criteria for treatment decisions in daily clinical practice are needed in all stages of the disease. \u0000Conclusion: TACE is a safe method for prolonging patients' survival with unresectable HCC. The correct treatment of HCC is concentrated in cancer centers, and cooperation between multiple specialists is necessary.","PeriodicalId":32905,"journal":{"name":"Albanian Journal of Trauma and Emergency Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48818671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
E. Çuedari, M. Ikonomi, Anila Pema (Kristo), D. Tarifa
{"title":"Characteristics, Effect of Histological Grade and Localization on the Prognosis of Colorectal Cancer. A retrospective Study.","authors":"E. Çuedari, M. Ikonomi, Anila Pema (Kristo), D. Tarifa","doi":"10.32391/ajtes.v6i2.282","DOIUrl":"https://doi.org/10.32391/ajtes.v6i2.282","url":null,"abstract":"Background: Colorectal cancer is the third most deadly cancer and the fourth most frequent in the world according to GLOBOCAN 2018. The number of new cases is growing up, which may also be related to lifestyle. Many studies have shown a difference in the number of males and females, correlation of localization, stage, and grade with prognosis. \u0000Material and Methods: In our study were included operated cases with colorectal cancer in University Hospital Center “Mother Theresa” during the period from January 1, 2016, to December 31, 2017. \u0000In our study, the total number of patients enrolled is 334. In the end was evaluated the correlation between histological grade, stage, and localization with prognosis. \u0000Results: From the study resulted that males were affected more than females by colorectal cancer. \u0000The average age of diagnosis of colorectal cancer is 63.9 (±12.4) years. Moderately differentiated adenocarcinoma, histological grade II and pathological stage pT3N0Mx after TNM are predominant. \u0000The commonest localization is the rectum. Disease-free survival is better in stages I and IIa than in other stages, least favorable in poorly differentiated adenocarcinoma. \u0000Conclusion: In Albania, patients diagnosed with CRC showed a low survival rate specific to cancer. \u0000The type of histology, the stage of cancer, the level of CEA at diagnosis, and the type of treatment a patient received significantly determine the mortality rate. \u0000Therefore, cancer screening programs can help to detect the disease at an early stage and initiate timely available treatments in order to extend the life expectancy of CRC patients.","PeriodicalId":32905,"journal":{"name":"Albanian Journal of Trauma and Emergency Surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43500245","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}