Koray BAŞ, Serhan DERİCİ, Seymen BORA, Koray ATİLA, Sevda ÖZKARDEŞLER

MİDE KANSER CERRAHİSİ SONRASI “ANASTOMOZ / DUODENAL GÜDÜK” KAÇAKLARI İÇİN RİSK DEĞERLENDİRMESİNİN BAĞIMSIZ RİSK FAKTÖRÜ OLARAK “DÜŞÜK MODİFİYE CERRAHİ APGAR SKORU(mSAS)”

Giriş: Mide kanseri en sık görülen beşinci kanser olarak karşımıza çıkmakta ve postoperatif komplikasyonları ölümcül olabilmektedir. Ameliyat sonrası genel komplikasyon gelişimini tahmin etmede kullanılan orijinal ve modifiye “Cerrahi Apgar Skoru”nun özellikle anastomoz/duodenal güdük kaçağını tahmin etmedeki başarısını değerlendirmeyi amaçladık. Gereç ve Yöntem: Dokuz Eylül Üniversite Hastanesinde ameliyat edilen ve verileri prospektif kayıt altına alınan 318 hastanın raporları retrospektif inceleme yöntemi ile gözden geçirildi. Çalışmaya 241 hasta dâhil edildi. Bulgular: Otuz bir(%12,8) hastada komplikasyon (>grade 3a) görüldü. Tek değişkenli analizde; yaş (p=0,001) preop hipo-albuminemi(p=0,024) düşük oSAS(p

RISK ASSESSMENT FOR “ANASTOMOTIC/DUODENAL STUMP” LEAKAGE AFTER GASTRIC CANCER SURGERY THE LOW “MODIFIED SURGICAL APGAR SCORES (mSAS)” AS AN INDEPENDENT RISK FACTOR

Introduction:Gastric cancer is the fifth most common cancer worldwide. Surgeons want to estimate which patientmay has leakage or any other morbidity after the operation. Several models have been developed for this enigma.Surgical Apgar Score(oSAS) has been proposed for general surgery and it was modified for gastricsurgery(mSAS).We evaluated the predictability of the oSAS and mSAS for anastomotic/duodenal stump leakageafter gastric cancer surgery.Material and Method: We investigated prospective recorded data of 318 patients with gastric cancer and weincluded 241 patients who underwent elective gastrectomy at Dokuz Eylul University Hospital for gastriccarcinoma.Results: Thirty-one patients(12.8%) had severe complications. Univariate analyses showed age(p=0.001),preoperative hypo-albuminemia (p=0.024),low oSAS(p=

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