Short-term outcomes of subtotal colectomy for splenic flexure tumors: a single-center experience
Splenic flexure tumors are a subtype of colon tumors whose treatment is still debated. We aim to evaluate the surgical methods and short-term outcomes of splenic flexure tumors. Fourteen patients with colonic tumors at or near the splenic flexure who underwent subtotal colectomy in the surgical onco...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Society of Turaz Bilim
2023-09-01
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| Series: | Medicine Science |
| Subjects: | |
| Online Access: | https://www.medicinescience.org/?mno=159954 |
| _version_ | 1827353110480158720 |
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| author | Mehmet Aslan Oktay Karakose |
| author_facet | Mehmet Aslan Oktay Karakose |
| author_sort | Mehmet Aslan |
| collection | DOAJ |
| description | Splenic flexure tumors are a subtype of colon tumors whose treatment is still debated. We aim to evaluate the surgical methods and short-term outcomes of splenic flexure tumors. Fourteen patients with colonic tumors at or near the splenic flexure who underwent subtotal colectomy in the surgical oncology department of Samsun Training and Research Hospital between August 2017 and March 2020 were retrospectively evaluated in terms of postoperative morbidity, mortality, and early oncologic outcomes. Of the fourteen patients evaluated, twelve were urgent and two were elective. Four patients underwent additional organ resection as a curative surgery. The pathology was colonic adenocarcinoma in all patients, and the histotype was mucinous in five patients (35.7%). Lymph node positivity was detected in six patients (42.8%) and metastasis in one patient (7.1%). Postoperatively, two patients (14.2%) developed surgical site infection, and one patient (7.1%) died. Eight (57.1%) patients complained of more frequent defecation, with a mean bowel movement frequency of 3±1.6 times daily. Based on our clinical experience, subtotal colectomy is appropriate for emergency surgical treatment of splenic flexure tumors, whereas left hemicolectomy is appropriate under elective conditions. [Med-Science 2023; 12(3.000): 737-40] |
| first_indexed | 2024-03-08T03:19:56Z |
| format | Article |
| id | doaj.art-b5b96fae517b4cf9af0e22bf0d0c4a06 |
| institution | Directory Open Access Journal |
| issn | 2147-0634 |
| language | English |
| last_indexed | 2024-03-08T03:19:56Z |
| publishDate | 2023-09-01 |
| publisher | Society of Turaz Bilim |
| record_format | Article |
| series | Medicine Science |
| spelling | doaj.art-b5b96fae517b4cf9af0e22bf0d0c4a062024-02-12T10:33:06ZengSociety of Turaz BilimMedicine Science2147-06342023-09-011237374010.5455/medscience.2023.07.102159954Short-term outcomes of subtotal colectomy for splenic flexure tumors: a single-center experienceMehmet Aslan0Oktay Karakose1MedicalPark Kocaeli Hospital SBU Samsun Training and Research HospitalSplenic flexure tumors are a subtype of colon tumors whose treatment is still debated. We aim to evaluate the surgical methods and short-term outcomes of splenic flexure tumors. Fourteen patients with colonic tumors at or near the splenic flexure who underwent subtotal colectomy in the surgical oncology department of Samsun Training and Research Hospital between August 2017 and March 2020 were retrospectively evaluated in terms of postoperative morbidity, mortality, and early oncologic outcomes. Of the fourteen patients evaluated, twelve were urgent and two were elective. Four patients underwent additional organ resection as a curative surgery. The pathology was colonic adenocarcinoma in all patients, and the histotype was mucinous in five patients (35.7%). Lymph node positivity was detected in six patients (42.8%) and metastasis in one patient (7.1%). Postoperatively, two patients (14.2%) developed surgical site infection, and one patient (7.1%) died. Eight (57.1%) patients complained of more frequent defecation, with a mean bowel movement frequency of 3±1.6 times daily. Based on our clinical experience, subtotal colectomy is appropriate for emergency surgical treatment of splenic flexure tumors, whereas left hemicolectomy is appropriate under elective conditions. [Med-Science 2023; 12(3.000): 737-40]https://www.medicinescience.org/?mno=159954subtotal colectomysplenic flexura tumors |
| spellingShingle | Mehmet Aslan Oktay Karakose Short-term outcomes of subtotal colectomy for splenic flexure tumors: a single-center experience Medicine Science subtotal colectomy splenic flexura tumors |
| title | Short-term outcomes of subtotal colectomy for splenic flexure tumors: a single-center experience |
| title_full | Short-term outcomes of subtotal colectomy for splenic flexure tumors: a single-center experience |
| title_fullStr | Short-term outcomes of subtotal colectomy for splenic flexure tumors: a single-center experience |
| title_full_unstemmed | Short-term outcomes of subtotal colectomy for splenic flexure tumors: a single-center experience |
| title_short | Short-term outcomes of subtotal colectomy for splenic flexure tumors: a single-center experience |
| title_sort | short term outcomes of subtotal colectomy for splenic flexure tumors a single center experience |
| topic | subtotal colectomy splenic flexura tumors |
| url | https://www.medicinescience.org/?mno=159954 |
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