Akademik Veri Yönetim Sistemi
ANNALS OF CLINICAL AND ANALYTICAL MEDICINE, cilt.16, sa.3, ss.182-186, 2025 (ESCI)
Aim: Guidelines published during the COVID-19 pandemic generally recommended postponing cancer surgeries except in emergencies. However, the impact of this approach on the progression of cancer cases has not yet been clearly determined. In this study, we aimed to compare the clinical data and outcomes of colorectal cancer surgeries conducted before, during, and after the pandemic. Material and Methods: This retrospective cohort study included patients who underwent surgery for colorectal cancer during three distinct periods: pre- pandemic (February 1, 2019- December 31, 2019), pandemic (August 1, 2020- June 30, 2021), and post-pandemic (April 1, 2021- August 1, 2021). Demographic data, clinical and laboratory findings, operational details, and post-discharge follow-up information were collected by reviewing patient files. The three groups were compared based on these data. Results: A total of 79 patients were included in the study: 29 (8 females and 21 males) were operated on before the pandemic, 18 (5 females and 13 males) during the pandemic, and 30 (9 females and 21 males) after the pandemic. One patient (3.4%) in the pre-pandemic period, 11 patients (37.9%) during the pandemic period, and five patients (16.7%) after the pandemic were operated on for emergency reasons (p < 0.001). When examining TNM stages, the most common stage 2 tumors were observed before the pandemic (37.93%), while stage 2 and stage 4 tumors (33.3% each) were most prevalent during the pandemic, and stage 4 tumors (36.7%) were the most common in the post-pandemic period (p = 0.67). Ostomy rates were 3.4% in the pre-pandemic period, 33.3% in the pandemic period, and 13.4% in the post-pandemic period (p = 0.017) Discussion: The rise in cases needing emergency surgery and the surge in ostomy rates during the pandemic highlights the negative effects of this process on surgical treatment for colorectal cancer.