RT Journal Article
SR Electronic
T1 Oncological surgical outcomes for colorectal cancer surgery with loco-regional anesthesia
JF Saudi Medical Journal
JO Saudi Med J
FD Prince Sultan Military Medical City
SP 59
OP 64
DO 10.15537/smj.2025.46.1.20240470
VO 46
IS 1
A1 Martlı, Hüseyin Fahri
A1 Şahingöz, Eda
A1 Şimşek, Emre
A1 Özcan, Ayça Tuba
A1 Aşık, Efnan
A1 Er, Sadettin
A1 Çetinkaya, Erdinç
YR 2025
UL http://smj.org.sa/content/46/1/59.abstract
AB 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.