Gambaran Klinikopatologi Pasien Dengan Kanker Kolorektal Yang Dilakukan Operasi Emergensi Dan Elektif Di Rsup H. Adam Malik Medan
GAMBARAN KLINIKOPATOLOGI PASIEN DENGAN KANKER
KOLOREKTAL YANG DILAKUKAN OPERASI EMERGENSI DAN
ELEKTIF DI RSUP H. ADAM MALIK MEDAN
Sampe Tua Tumanggor1, Bachtiar Surya2, Adi Muradi3
1
2
PPDS Ilmu Bedah Fakultas Kedokteran Universitas Sumatera Utara
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.
KATA KUNCI : kanker kolorektal, gambaran klinikopatologi, operasi emergensi dan elektif
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CLINICAL AND PATHOLOGIC REVIEW COLORECTAL CANCER
PATIENT OPERATED IN EMERGENCY AND ELECTIVE SETTING IN
ADAM MALIK HOSPITAL
Sampe Tua Tumanggor1, Bachtiar Surya2, Adi Muradi3
1
2
Resident of Surgery Medical Faculty University of North Sumatera
Department 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.
Key Words : Colorectal cancer, clinical pathology, emergency and elective surgery
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KOLOREKTAL YANG DILAKUKAN OPERASI EMERGENSI DAN
ELEKTIF DI RSUP H. ADAM MALIK MEDAN
Sampe Tua Tumanggor1, Bachtiar Surya2, Adi Muradi3
1
2
PPDS Ilmu Bedah Fakultas Kedokteran Universitas Sumatera Utara
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.
KATA KUNCI : kanker kolorektal, gambaran klinikopatologi, operasi emergensi dan elektif
x
CLINICAL AND PATHOLOGIC REVIEW COLORECTAL CANCER
PATIENT OPERATED IN EMERGENCY AND ELECTIVE SETTING IN
ADAM MALIK HOSPITAL
Sampe Tua Tumanggor1, Bachtiar Surya2, Adi Muradi3
1
2
Resident of Surgery Medical Faculty University of North Sumatera
Department 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.
Key Words : Colorectal cancer, clinical pathology, emergency and elective surgery
xi