Cirurgia no câncer colorretal: abordagem cirúrgica de 74 pacientes do SUS portadores de câncer colorretal em programa de pós-graduação lato sensu em coloproctologia

Oliveira, Rodrigo Mota de; Faria, Flávia Fontes; Lima, Doryane Maria dos Reis; Rodrigues, Fábio Gontijo; Andrade, Mônica Mourthé de Alvim; Gomes, Daniel Martins Barbosa Medeiros; Neves, Peterson Martins; Constantino, José Roberto Monteiro; Braga, Áurea Cássia Gualbeto; Ferreira, Renata Magali Silluzio; Alvarenga, Isabella Mendonça; Lanna, David de; Teixeira, Ricardo Guimarães; Valle, Heraldo Neves; Leite, Sinara Mônica Oliveira; Costa, Luciana Assis; Silva, Ilson Geraldo da; Cruz, Geraldo Magela Gomes da

doi:10.1590/s0101-98802011000100007

Cited by 8 publications

(6 citation statements)

References 13 publications

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“…About the presence of comorbidities, it was seen that the mortality after colorectal operations increased significantly in the presence of comorbidities, as well as the occurrence of surgical complications [62]. Another study shows that the number of days of hospitalization and rate of comorbidities has a negative effect to the QOL of the patients when evaluated by the SF -6D instrument [24].…”

Section: Discussionmentioning

confidence: 99%

Quality Of Life Regarding People With An Ostomy: Integrative Review About Related Factors

et al. 2016

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Objective:Analyze the studies which present aspects related to the quality of life of patients with an ostomy. Method:It is about an integrative review in databases of the literature held in the Latin American Literature and Caribbean health sciences, Medical Literature Analysis and Retrieval System Online, Nursing Database, PubMed Central, Cumulative Index to Nursing and Allied Health Literature, Web of Science and SciVerse Scopus. Controlled keywords of the Medical Subject Headings (MESH) were used: "Ostomy" and "Quality of life". The additional factors were: scientific articles that measure the QOL of people with an ostomy and/or scientific articles that show at least one aspect which affects the QOL of those people. After the analysis, the final sample was composed of 41 articles that passed through statistical analysis to identify the factors that best associated and correlated to the life quality of patients with an ostomy. Results:International studies with the level of evidence VI were predominant. 40 factors associated with the QOL of people with an ostomy were observed and subdivided into the domains: sociodemographic, clinical, physical, psychological and social. Conclusion:The main factors related to the quality of life of patients with an ostomy were: age, income, gender, change in physical and in sexual function (p<0.001). However, as it is about a review study, it needs the validation of the factors that most stand out in this theme.

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Section: Discussionmentioning

confidence: 99%

Quality Of Life Regarding People With An Ostomy: Integrative Review About Related Factors

et al. 2016

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“…The aging process causes changes that can affect response to surgical procedures. Considering this, older adult patients have higher rates of postsurgical complications than younger patients when experiencing gastric resection, gastrostomy, or colectomy (Oliveira et al, 2011;Su et al, 2016). Thus, interventions aimed at reducing postsurgical complications in elderly patients are justifiable.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of a telephone follow‐up nursing intervention in postsurgical patients

Santana

Pereira²,

Carmo

et al. 2018

Int J of Nursing Practice

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“…27 The casuistry presented by the Medical Residency Program in Coloproctology at the Santa Casa de Belo Horizonte for patients with CRC undergoing surgery reveals that the average number of ganglia found in the surgical specimens was 10.4 and a mortality of 16.2% for patients with CRC who underwent surgical procedures (12/74). 28 Our sample had a mean lymph node detection rate of 12.03 per surgical specimen (ranging from 0 to 37 lymph nodes); lymph node involvement by neoplasm was identified in 5.36% (20/373).…”

Section: Discussionmentioning

confidence: 85%

Watch and Wait, Worth It?

Neto

Filho

Coelho

et al. 2022

Journal of Coloproctology

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Background The surgery with total mesorectal excision recommended by R. J. Heald in 1982 is the gold standard. Rectal cancer (RC) surgery has a morbidity rate ranging from 6 to 35%, and it can cause functional issues such as sexual, urinary, and bowel dysfunction in the long term. Neoadjuvant chemoradiotherapy (CRT) has been gaining ground in patients with lesions in the middle and lower rectum. The aim of the present study is to present the experience of a reference service in the treatment of RC. Patients and Methods A retrospective study involving 53 patients diagnosed with RC between January 2017 and December 2019 with follow-up until December 2020. We examined tumor location, disease stage, digital rectal exam findings, carcinoembryonic antigen (CEA), therapeutic modality offered, and follow-up time. Results A total of 32% of the patients were men and 68% were women, with a mean age of 60 years old. Location: upper rectum in 6 cases, middle rectum in 21 cases, and lower rectum in 26 cases with evolution from 9.8 to 13.5 months. The most frequent complaints were hematochezia and constipation. A total of 36 patients underwent neoadjuvant therapy: 11 complete clinical response (CCR) (30.5%), 20 (55.5%) partial clinical response (PCR), and no response in 5 patients (14%). The follow-up ranged from 12 to 48 months, with a mean of 30.5 months. A total of 25% of the patients had RC that went beyond the mesorectal fascia, and 22.64% had metastases in other parts of the body when they were diagnosed. Conclusion Neoadjuvant radio and chemotherapy present themselves as an alternative in the treatment of rectal cancer. In 36 patients, 30.5% had a complete clinical response, 55.5% had a partial clinical response, and 14% had no response. It was worth doing the “Watch and Wait” (W&W) to sample. A definitive colostomy was avoided. However, it is necessary to expand the study to a larger follow-up and more patients. Additionally, it is necessary to implement a multicenter study.

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Cirurgia no câncer colorretal: abordagem cirúrgica de 74 pacientes do SUS portadores de câncer colorretal em programa de pós-graduação lato sensu em coloproctologia

Cited by 8 publications

References 13 publications

Quality Of Life Regarding People With An Ostomy: Integrative Review About Related Factors

Quality Of Life Regarding People With An Ostomy: Integrative Review About Related Factors

Effectiveness of a telephone follow‐up nursing intervention in postsurgical patients

Watch and Wait, Worth It?

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