Outcome Of Total Or Subtotal Colectomy With Primary Anastomosis In Management Of Obstructive Left Colon Cancer / (Record no. 172722)
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| fixed length control field | 08485namaa22004331i 4500 |
| 003 - CONTROL NUMBER IDENTIFIER | |
| control field | OSt |
| 005 - أخر تعامل مع التسجيلة | |
| control field | 20250624101300.0 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 250624s2024 ua a|||frm||| 000 0 eng d |
| 040 ## - CATALOGING SOURCE | |
| Original cataloguing agency | EG-GICUC |
| Language of cataloging | eng |
| Transcribing agency | EG-GICUC |
| Modifying agency | EG-GICUC |
| Description conventions | rda |
| 041 0# - LANGUAGE CODE | |
| Language code of text/sound track or separate title | eng |
| Language code of summary or abstract | eng |
| -- | ara |
| 049 ## - Acquisition Source | |
| Acquisition Source | Deposit |
| 082 04 - DEWEY DECIMAL CLASSIFICATION NUMBER | |
| Classification number | 616.99 |
| 092 ## - LOCALLY ASSIGNED DEWEY CALL NUMBER (OCLC) | |
| Classification number | 616.99 |
| Edition number | 21 |
| 097 ## - Degree | |
| Degree | M.Sc |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) | |
| Local Call Number | Cai01.19.04.M.Sc.2024.Ah.O. |
| 100 0# - MAIN ENTRY--PERSONAL NAME | |
| Authority record control number or standard number | Ahmed Abdelgwad Mohamed, |
| Preparation | preparation. |
| 245 10 - TITLE STATEMENT | |
| Title | Outcome Of Total Or Subtotal Colectomy With Primary Anastomosis In Management Of Obstructive Left Colon Cancer / |
| Statement of responsibility, etc. | By Ahmed Abdelgwad Mohamed; Supervised By Dr. Alaadin Hussien Ahmed, Dr. Mohamed Aly Abdelhamed, Dr. Elsayed mohamed Shaker Shaeir. |
| 246 15 - VARYING FORM OF TITLE | |
| Title proper/short title | حصيلة الاستئصال الكلى/ شبه الكلى للقولون واعادة التوصيل فى حالات الانسداد المعوى السرطانى للقولون الايسر / |
| 264 #0 - PRODUCTION, PUBLICATION, DISTRIBUTION, MANUFACTURE, AND COPYRIGHT NOTICE | |
| Date of production, publication, distribution, manufacture, or copyright notice | 2024. |
| 300 ## - PHYSICAL DESCRIPTION | |
| Extent | 77 pages : |
| Other physical details | illustrations ; |
| Dimensions | 25 cm. + |
| Accompanying material | CD. |
| 336 ## - CONTENT TYPE | |
| Content type term | text |
| Source | rda content |
| 337 ## - MEDIA TYPE | |
| Media type term | Unmediated |
| Source | rdamedia |
| 338 ## - CARRIER TYPE | |
| Carrier type term | volume |
| Source | rdacarrier |
| 502 ## - DISSERTATION NOTE | |
| Dissertation note | Thesis (M.Sc.)-Cairo University, 2024. |
| 504 ## - BIBLIOGRAPHY, ETC. NOTE | |
| Bibliography, etc. note | Bibliography: pages 70-77. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | <br/>Keywords:<br/>Total colectomy ; obstructive left colon cancer ; staged resection of left colon ; obstructive left colon cancer ; colon surgery<br/>Background: <br/>Several surgical procedures have been described for the treatment of obstructive lesions of the left colon; however, there is no consensus on a particular method to be used for the surgical management of acute obstructions due to malignancies. The classical three-step surgical approach including initial transverse loop colostomy followed by left colectomy performed after improvement in the patient’s general status and closure by colostomy after two or three weeks has started to be replaced with the more aggressive single-step emergent surgery as total/subtotal colectomy and primary anastomosis. Other surgical alternatives include Hartmann resection, segmental resection with covering illeostomy and total/subtotal colectomy with covering illeostomy .<br/>Objectives:<br/>performed to investigate the outcome of total colectomy in the mangment of obstructive left colon cancer.<br/>Patients and methods:<br/>a retrospective Cohort study which was conducted on all patients diagnosed with obstructive left colon cancer and performed surgery at NCI from 2015 to 2019.<br/><br/><br/><br/><br/>Results:<br/>• Regarding the incidence of post operative complications, it was higher among the group of patients who were subjected to non-staged resection with no statistically significant difference. The most common complications were wound infection, wound dehiscence and intestinal leakage.<br/>• Regarding the post operative outcome, the mean of post operative stay was significantly shorter among the group of patients who underwent staged resection (8 days) compared to the other group (12 days). <br/>• The cumulative overall survival rate of the 60 patients (the whole group) at 3 years was 71.7 % and at 5 years was 62.6 %.The 5-year survival rate was best for cases who were presented with subacute obstruction (89.5%).The 5-year survival rate was best for cases who underwent non staged procedures (75.6 %).Regarding degree of obstruction, 5-year survival was best for cases who presented with subacute obstruction than those who presented with acute obstruction. Regarding type of procedure, 5-year survival was best for cases subjected to non-staged procedures than those who underwent staged procedures.<br/>• The cumulative overall disease-free survival (D.F.S) rate of the entire group at 3 years was 69 % and at 5 years was 65.4%. The 5-year D.F.S rate was higher for group patients who presented with subacute obstruction than those who presented with acute obstruction. The 5-year D.F.S rate was higher for group patients subjected to non-stagedprocedures than those who were subjected to staged procedures.Regarding degree of obstruction, DFS was best for cases who presented with subacute obstruction than those who presented with acute obstruction. Regarding type of procedure, DFS was best for cases subjected to non-staged procedures than those who underwent staged procedures.<br/><br/>Conclusion:<br/>In colon cancer patients, the non-staged procedure was better than staged procedure as it is associated with best5-year survival and disease-free survival rate. However, hospital stay was shorter in patients who underwent staged resection.<br/> |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | هدفت هذه الدراسة إلى مقارنة فعالية استئصال القولون شبه الكلي أو الكلي والتفاغر الأولي مع الطرق الجراحية الأخرى في علاج الآفات الانسدادية الناجمة عن الأورام الخبيثة للقولون الأيسر.<br/>طرق البحث:<br/>دراسة استعادية تم إجراؤها على جميع المرضى الذين تم تشخيص إصابتهم بالانسداد السرطانى للقولون الايسر فى الفتره من 2015 حتى 2019.<br/>النتائج: <br/>• فيما يتعلق بمعدل حدوث المضاعفات بعد الجراحة، فقد كان أعلى بين مجموعة المرضى الذين خضعوا للاستئصال غير المرحلي دون وجود فرق كبير ذو دلالة إحصائية، وكانت المضاعفات الأكثر شيوعاً هي التهاب الجرح، وتفزر الجرح، والتسرب المعوي.<br/>• فيما يتعلق بالنتائج بعد الجراحة، كان متوسط فترة البقاء في المستشفى بعد الجراحة أقصر بشكل ملحوظ بين مجموعة المرضى الذين خضعوا للاستئصال المرحلي (8 أيام) مقارنة بالمجموعة الأخرى (12 يوماً).<br/>• بلغ المعدل التراكمي للبقاء على قيد الحياة بشكل عام للـ 60 مريضًا (المجموعة بأكملها) بعد 3 سنوات 71.7% وبعد 5 سنوات 62.6%.<br/>• كان معدل البقاء على قيد الحياة لمدة 5 سنوات أعلى بالنسبة للمرضى الذينعانوا من انسداد شبه حاد (89.5%).<br/>• كان معدل البقاء على قيد الحياة لمدة 5 سنوات أعلى بالنسبة للمرضى الذين خضعوا لإجراءات غير مرحلية (75.6٪).<br/>• فيما يتعلق بنوع الإجراء، كان معدل البقاء على قيد الحياة لمدة 5 سنوات أعلى بالنسبة للمرضى الذين خضعوا لإجراءات غير مرحلية مقارنة بالمرضى الذين خضعوا لإجراءات مرحلية.<br/>• بلغ المعدل الإجمالي التراكمي للبقاء على قيد الحياة دون مرض (D.F.S) للمجموعة بأكملها بعد 3 سنوات 69٪ وبعد 5 سنوات 65.4٪.<br/>• كان معدل البقاء على قيد الحياة دون مرض لمدة 5 سنوات أعلى بالنسبة للمرضى الذين خضعوا لإجراءات غير مرحلية مقارنة بالمرضى الذين خضعوا لإجراءات مرحلية.<br/><br/><br/><br/>الاستنتاج:<br/> بالنسبة لمرضى سرطان القولون، كان الإجراء غير المرحلي أفضل من الإجراء المرحلي لأنه يرتبط بأعلى معدل بقاء على قيد الحياة لمدة 5 سنوات ومعدل بقاء على قيد الحياة دون مرض.ومع ذلك، كانت الإقامة في المستشفى أقصر في المرضى الذين خضعوا للاستئصال المرحلي.<br/> |
| 530 ## - ADDITIONAL PHYSICAL FORM AVAILABLE NOTE | |
| Issues CD | Issued also as CD |
| 546 ## - LANGUAGE NOTE | |
| Text Language | Text in English and abstract in Arabic & English. |
| 650 #7 - SUBJECT ADDED ENTRY--TOPICAL TERM | |
| Topical term or geographic name entry element | Surgical Oncology |
| Source of heading or term | qrmak |
| 653 #0 - INDEX TERM--UNCONTROLLED | |
| Uncontrolled term | obstructive left colon cancer |
| -- | staged resection of left colon |
| -- | Total colectomy |
| 700 0# - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Alaadin Hussien Ahmed |
| Relator term | thesis advisor. |
| 700 0# - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Mohamed Aly Abdelhamed |
| Relator term | thesis advisor. |
| 700 0# - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Elsayed mohamed Shaker Shaeir |
| Relator term | thesis advisor. |
| 900 ## - Thesis Information | |
| Grant date | 01-01-2024 |
| Supervisory body | Alaadin Hussien Ahmed |
| -- | Mohamed Aly Abdelhamed |
| -- | Elsayed mohamed Shaker Shaeir |
| Universities | Cairo University |
| Faculties | Faculty of National Cancer Institute |
| Department | Department of Surgical Oncology Resident at National Cancer Institute |
| 905 ## - Cataloger and Reviser Names | |
| Cataloger Name | Eman El gebaly |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
| Source of classification or shelving scheme | Dewey Decimal Classification |
| Koha item type | Thesis |
| Edition | 21 |
| Suppress in OPAC | No |
| Source of classification or shelving scheme | Home library | Current library | Date acquired | Inventory number | Full call number | Barcode | Date last seen | Effective from | Koha item type |
|---|---|---|---|---|---|---|---|---|---|
| Dewey Decimal Classification | المكتبة المركزبة الجديدة - جامعة القاهرة | قاعة الرسائل الجامعية - الدور الاول | 24.06.2025 | 91527 | Cai01.19.04.M.Sc.2024.Ah.O. | 01010110091527000 | 24.06.2025 | 24.06.2025 | Thesis |