Akademik Veri Yönetim Sistemi
ANNALS OF CLINICAL AND ANALYTICAL MEDICINE, ss.150-153, 2023 (ESCI)
Aim: Although the severity of diarrhea, the number of defecations, disturbances in the absorption of bile salts in right hemicolectomy theoretically depend on the resected length of the terminal ileum, there is no international guideline on how much the terminal ileum can be resected. The aim of this study was to determine the length of the ileum removed in patients undergoing right hemicolectomy for primary right colon adenocarcinoma and to evaluate whether surgical urgency, tumor localization and patient characteristics affect the length of the ileum. Material and Methods: We evaluated 145 patients who underwent right hemicolectomy for primary colon adenocarcinoma. Results: The median resected ileum length of the patients included in the study was 6 cm (min:2-max:73). When ileum lengths were evaluated by subgroups according to T stage (p=0.005) and N stage (p=0.005), there was a significant relationship between them. When N stages were also evaluated, there was no significant relationship between N0-N1 stages, while there was a significant difference in ileum lengths between N1-N2 (p=0.008) and N0-N2 (p=0.001) stages. Discussion: In this descriptive study, we investigated the factors that may explain the variability of ileum length in patients who underwent right hemicolectomy for primary right colon adenocarcinoma, with the idea that the length of the ileum resected during surgery does not have a certain standard.