Ulus Travma Acil Cerrahi Derg. 2023; 29(6): 705-709 | DOI: 10.14744/tjtes.2023.83357

Komplike apandisitin cerrahi tedavisinde ileoçekal rezeksiyon ile sað hemikolektominin karþýlaþtýrýlmasý

Hamdi Taner Turgut¹, Ozkan Subasi^2
1Saðlýk Bilimleri Üniversitesi, Derince Saðlýk Uygulama ve Araþtýrma Merkezi, Genel Cerrahi Kliniði, Kocaeli
²Saðlýk Bilimleri Üniversitesi, Derince Saðlýk Uygulama ve Araþtýrma Merkezi, Gastoenteroloji Cerrahi Kliniði, Kocaeli

AMAÇ: Komplike apandisit tanýsýyla basit apendektomi zor olabilir ve bu durumda bazen geniþletilmiþ rezeksiyona ihtiyaç duyulur. Bu nedenle geniþletilmiþ rezeksiyon olarak tercih edilen ileoçekal rezeksiyon ve sað hemikolektomi prosedürlerini; hastalarýn demografik verileri ve preoperatif laboratuvar tetkiklerinden (WBC (White Blood Cell), N/L (Neutrophil-to-lymphocyteratio), CRP (C-reactive protein)) deðerleri, ameliyat süresi, postoperatif komplikasyonlar, hastanede yatýþ süresi ve bir aylýk mortalite olarak karþýlaþtýrmayý amaçladýk.
GEREÇ VE YÖNTEM: Kliniðimizde Þubat 2015- Aralýk 2020 tarihleri arasýnda komplike apandisit tanýsýyla geniþletilmiþ rezeksiyon yapýlan hastalar geriye dönük olarak deðerlendirildi. Sað hemikolektomi veya ileoçekal rezeksiyon prosedürü uygulanan hastalar iki gruba ayýrýldý.
BULGULAR: Komplike apandisit tanýsýyla geniþletilmiþ rezeksiyon uygulanan 55 hastanýn 32’sine (%58.1) sað hemikolektomi ve 23’üne (%41.8) ileo-çekal rezeksiyon yapýldý. Gruplar arasýnda demografik özellikler, preoperatif laboratuvar (WBC, N/L oraný, CRP) deðerleri, Clavian-Dindo komp-likasyon sýnýflandýrmasý, ortalama hastanede yatýþ süresi ve bir aylýk mortalite açýsýndan istatistiksel olarak anlamlý fark yoktu (p>0.005). Operasyon süresi bakýmýndan ise gruplar arasýnda istatistiksel olarak anlamlý fark vardý (p<0.001).
TARTIÞMA: Geniþletilmiþ rezeksiyon planlanan komplike apandisit tanýlý hastalarda ileoçekal rezeksiyon prosedürü güvenle tercih edilebilir.

Anahtar Kelimeler: Komplike apandisit, geniþletilmiþ rezeksiyon; sað hemikolektomi; ileoçekal rezeksiyon.

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Comparison of ileocecal resection and right hemicolectomy in the surgical treatment of complicated appendicitis

Hamdi Taner Turgut¹, Ozkan Subasi^2
1Department of General Surgery, Health Sciences University Derince Training and Research Hospital, Kocaeli-Türkiye
²Department of Gastroenteroloji Surgery, Health Sciences University Derince Training and Research Hospital, Kocaeli-Türkiye

BACKGROUND: Simple appendectomy with a complicated appendicitis diagnosis could prove difficult, sometimes requiring ex-tended resection. Hence, we aimed to compare two procedures that are preferred for extended resection, ileocecal resection, and right hemicolectomy, in terms of patients’ demographic data, preoperative laboratory values (white blood cell [WBC], Neutrophil-to-lymphocyte ratio [N/L], C-reactive protein [CRP]), operation times, postoperative complications, length of hospital stay, and 1-month mortality rates.
METHODS: We retrospectively reviewed patients who underwent extended resection with the diagnosis of complicated appen-dicitis in our clinic from February 2015 to December 2020. We divided the patients into two groups those who underwent right hemicolectomy and those who underwent ileocecal resection.
RESULTS: Among the 55 patients who underwent extended resection with the diagnosis of complicated appendicitis, 32 (58.1%) underwent right hemicolectomy and 23 underwent ileocecal resection (41.8%). The groups did not differ statistically significantly in terms of demographic characteristics, preoperative laboratory values (WBC, N/L, CRP), Clavien–Dindo classification scores, mean hospital stay, or 1-month mortality rates (p>0.005). However, there was a statistically significant difference between the groups in terms of operation time (p<0.001).
CONCLUSION: Ileocecal resection is a safe procedure for patients diagnosed with complicated appendicitis who are scheduled for extended resection.

Keywords: Complicated appendicitis, extended resection; ileocecal resection; right hemicolectomy.

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