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Research ArticleOriginal Article
Open Access

Oncological surgical outcomes for colorectal cancer surgery with loco-regional anesthesia

A feasibility study

Hüseyin Fahri Martlı, Eda Şahingöz, Emre Şimşek, Ayça Tuba Özcan, Efnan Aşık, Sadettin Er and Erdinç Çetinkaya
Saudi Medical Journal January 2025, 46 (1) 59-64; DOI: https://doi.org/10.15537/smj.2025.46.1.20240470
Hüseyin Fahri Martlı
From the Department of General Surgery, Ankara Bilkent City Hospital, Ankara, Turkey.
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  • ORCID record for Hüseyin Fahri Martlı
  • For correspondence: [email protected]
Eda Şahingöz
From the Department of General Surgery, Ankara Bilkent City Hospital, Ankara, Turkey.
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Emre Şimşek
From the Department of General Surgery, Ankara Bilkent City Hospital, Ankara, Turkey.
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Ayça Tuba Özcan
From the Department of General Surgery, Ankara Bilkent City Hospital, Ankara, Turkey.
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Efnan Aşık
From the Department of General Surgery, Ankara Bilkent City Hospital, Ankara, Turkey.
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Sadettin Er
From the Department of General Surgery, Ankara Bilkent City Hospital, Ankara, Turkey.
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Erdinç Çetinkaya
From the Department of General Surgery, Ankara Bilkent City Hospital, Ankara, Turkey.
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  • Article
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Article Figures & Data

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    Table 1

    - Comparative baseline characteristics of the patients.

    Parametersn (%)
    Age (years), median (min-max)75 (53-94)
    Gender
    Female27 (50.9)
    Male26 (49.1)
    Cigarette smoking32 (60.4)
    Major comorbidities
    Coronary artery disease22 (41.5)
    Hypertension36 (67.9)
    Diabetes mellitus39 (75.6)
    COPD28 (52.8)
    Heart failure18 (34.0)
    ASA score
    ASA 333 (62.3)
    ASA 420 (37.7)
    Preoperative stage
    I3 (5.7)
    II19 (35.8)
    III26 (49.0)
    IV5 (9.4)
    Operations
    Right hemicolectomy9 (17.0)
    Extended right hemicolectomy5 (9.4)
    Left hemicolectomy5 (9.4)
    Extended left hemicolectomy1 (1.9)
    Low anterior resection22 (41.5)
    Abdominoperineal resection4 (7.5)
    Total colectomy7 (13.2)

    Values are presented as numbers and percentages (%), COPD: chronic obstructive pulmanary disease, ASA: America Association of Anesthesiology

      • View popup
      Table 2

      - Time of stay in the intensive care unit and mortality.

      Parametersn (%)
      Time of stay ICU (day)
      015 (28.3)
      120 (37.7)
      23 (5.7)
      33 (5.7)
      42 (3.8)
      52 (3.8)
      71 (1.9)
      101 (1.9)
      151 (1.9)
      261 (1.9)
      Mortality
      Myocardial infarct
      ASA 31 (1.9)
      ASA 41 (1.9)
      Total2 (3.8)
      COVID-19 pneumonia
      ASA 31 (1.9)
      ASA 40 (0.0)
      Mortality (overall)3 (5.7)

      Values are presented as numbers and percentages (%).

      ICU: intensive care unit, ASA: America Association of Anesthesiology

        • View popup
        Table 3

        - Complications after surgery.

        Complicationsn (%)
        Cardiac*13 (24.5)
        Respiratuary**30 (56.6)
        Wound enfection/abscess22 (41.5)
        Urinary disfunction12 (22.6)
        Urinary tract enfection4 (7.5)
        Postoperative ileus18 (34.0)
        Intraabdominal abscess4 (7.5)

        Values are presented as numbers and percentages (%).

        • ↵* Hypotansion, hypertension, acute heart failure, and myocardial infarction.

        • ↵** Athelectasy, pneumonia, and nasal oxygen requirement.

        • View popup
        Table 4

        - Removed lymph nodes.

        OperationsMedianMeanMin-maxIQR (25-75%)
        Right hemicolectomy1920.2211-3411-19
        Extended right hemicolectomy2626.6020-3220-24
        Left hemicolectomy1624.207-667-10
        Extended left hemicolectomy2828.00--
        Low anterior resection1413.803-297-17
        Abdominoperineal resection2128.2512-5912-
        Total colectomy4845.8614-9714-48
        Overall1923.453-9713-27

        IQR: interquartile range

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        Saudi Medical Journal: 46 (1)
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        1 Jan 2025
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        Oncological surgical outcomes for colorectal cancer surgery with loco-regional anesthesia
        Hüseyin Fahri Martlı, Eda Şahingöz, Emre Şimşek, Ayça Tuba Özcan, Efnan Aşık, Sadettin Er, Erdinç Çetinkaya
        Saudi Medical Journal Jan 2025, 46 (1) 59-64; DOI: 10.15537/smj.2025.46.1.20240470

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        Oncological surgical outcomes for colorectal cancer surgery with loco-regional anesthesia
        Hüseyin Fahri Martlı, Eda Şahingöz, Emre Şimşek, Ayça Tuba Özcan, Efnan Aşık, Sadettin Er, Erdinç Çetinkaya
        Saudi Medical Journal Jan 2025, 46 (1) 59-64; DOI: 10.15537/smj.2025.46.1.20240470
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        Keywords

        • colon cancer
        • spinal anesthesia
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