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GAMBARAN KLINIKOPATOLOGI PASIEN DENGAN KANKER
KOLOREKTAL YANG DILAKUKAN OPERASI EMERGENSI DAN
ELEKTIF DI RSUP H. ADAM MALIK MEDAN
Sampe Tua Tumanggor
1, Bachtiar Surya
2,
Adi Muradi
31
PPDS Ilmu Bedah Fakultas Kedokteran Universitas Sumatera Utara
2
Departemen Ilmu Bedah Fakultas Kedokteran Universitas Sumatera Utara-RSUP
Haji Adam Malik Medan
Abstrak
PENDAHULUAN : Kanker kolorektal merupakan kanker ketiga paling umum di dunia dengan hampir 1,4 juta kasus baru didiagnosa pada tahun 2012. Tingkat insiden laki-laki lebih tinggi daripada perempuan di semua negara. Penderita kanker kolorektal lebih banyak menjalani operasi elektif daripada emergensi. Tujuan dari penelitian adalah untuk mengetahui gambaran klinis dan patologis kasus kanker kolorektal yang dilakukan operasi emergensi dan elektif di RSUP H. Adam Malik Medan periode Januari 2011 hingga Desember 2013.
METODE : Penelitian ini merupakan penelitian deskriptif dengan desain penelitian retrospektif dengan mencari data sekunder dari rekam medis pasien kanker kolorektal yang telah dilakukan operasi emergensi dan elektif di RSUP H. Adam Malik Medan periode Januari 2011 hingga Desember 2013.
HASIL : Sebanyak 40 kasus menjalani operasi emergensi ; 22 laki-laki dan 18 perempuan, serta 139 kasus menjalani operasi elektif ; 77 laki-laki, 62 perempuan. Pada kasus emergensi 38 kasus dengan gambaran klinis obstruksi dan 2 kasus dengan peritonitis. Untuk kasus elektif, 65 kasus dengan gambaran klinis buang air besar lendir darah, 41 kasus sulit buang air besar dan 33 kasus dengan teraba massa di abdomen. Gambaran histopatologi pada kasus emergensi 22 kasus dengan Well Differentiated Adeno Ca dan pada kasus elektif 81 kasus dengan Well
Differentiated Adeno Ca.
KESIMPULAN : Gambaran klinis untuk kasus emergensi paling banyak dengan obstruksi yaitu 38 kasus, sedangkan untuk kasus elektif dengan gambaran klinis buang air besar lendir darah yaitu 65 kasus. Gambaran histopatologi pada kasus emergensi paling banyak dengan Well
Differentiated Adeno Ca yaitu 22 kasus dan pada kasus elektif juga paling banyak degan Well
Diffeerrentiated Adeno Ca yaitu 81 kasus.
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CLINICAL AND PATHOLOGIC REVIEW COLORECTAL CANCER
PATIENT OPERATED IN EMERGENCY AND ELECTIVE SETTING IN
ADAM MALIK HOSPITAL
Sampe Tua Tumanggor
1, Bachtiar Surya
2,
Adi Muradi
31
Resident of Surgery Medical Faculty University of North Sumatera
2Department of Surgery Medical Faculty University of North Sumatera Adam
Malik General Hospital Medan
Abstract
Introduction : Colorectal cancer is the third most common cancer in the world with nearly 1.4 million new cases diagnosed in 2012. The incidence rate of men is higher than women in all countries. Colorectal cancer patients undergoing elective surgery more than emergency. The aim of the study was to determine the clinical features and pathological cases of colorectal cancer that were performed emergency surgery and elective at Adam Malik Hospital from January 2011 to December 2013.
Method : This study is a retrospective descriptive study design with secondary data from medical records of patients with colorectal cancer who had performed emergency and elective surgery at Adam Malik Hospital from January 2011 to December 2013.
Result : From 40 cases underwent emergency surgery there were 22 male and 18 female, and from 139 cases undergoing elective surgery there were 77 male, 62 female. In the case of emergency 38 cases with clinical finding of obstruction and 2 cases with peritonitis. For elective cases, 65 cases with clinical finding of defecating blood mucus, 41 cases of constipation and 33 cases with a palpable mass in the abdomen. Histopathologic features in emergency cases, 22 cases with Well Differentiated Adeno Ca and in elective cases, 81 cases with Well Differentiated Adeno Ca.
Conclusion : The most clinical features in emergency cases with obstruction were 38 cases, while for elective cases with clinical picture defecating blood mucus were 65 cases. The most Histopathologic features in emergency cases with Well Differentiated Adeno Ca were 22 cases and in elective cases were 81 cases.
