Palliative Surgery for Cancer in Southwest Nigeria
Autor: | A.A. Oyelekan, BA Ayoade, C C Nwokoro, OM Fatungase, A. O. Adekoya, BA Salami |
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Jazyk: | angličtina |
Rok vydání: | 2019 |
Předmět: |
medicine.medical_specialty
Palliative care Pleural effusion medicine.medical_treatment lcsh:Surgery 03 medical and health sciences 0302 clinical medicine Breast cancer Laparotomy Medicine cancer 030212 general & internal medicine Stomach cancer business.industry Palliative surgery Cancer Outcome Cancer Retrospective cohort study lcsh:RD1-811 medicine.disease Thoracostomy Surgery palliative surgery 030220 oncology & carcinogenesis outcome business |
Zdroj: | The Annals of African Surgery, Vol 16, Iss 2, Pp 55-58 (2019) Annals of African Surgery; Vol 16, No 2 (2019) |
ISSN: | 2523-0816 1999-9674 |
Popis: | Background: Most patients with cancer in the low-income environment present late, when the chances of cure are remote. Palliative care which includes surgery is needed to improve quality of life and minimize suffering and emotional disturbances associated with end of life. Methodology: Retrospective study of palliative surgery cases over five years. Data extracted included demographic features, diagnosis, procedure carried out, clinical status at 30 days postoperative, and survival. Results: 1,581 patients were operated over the study period. 227 patients were operated for malignancies; of these 91 patients (40%) had palliative procedures. The diagnoses in palliative surgery cases: prostate cancer 50 patients (54.9%), breast cancer 14.3%, stomach cancer 9.9%, and others. Indications for surgery were: urinary bladder outlet obstruction 46.1%, pleural effusion 14.3 %, obstructive jaundice 13.2%, and others. Bilateral total orchidectomy was performed in 50.5%, tube thoracostomy in 14.3%, laparotomy and biopsy in 11%. Thirteen patients (14.3%) died postoperatively; 57 patients (62.6%) were alive and well at 30 days after surgery. Survival period was |
Databáze: | OpenAIRE |
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