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All Journal The New Ropanasuri Journal of Surgery
Putranto, Agi S
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology

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Intraoperative Pancreatic Assessment in Pancreaticoduodenectomy The Correlation with Pancreatic Fistula Formation Mazni, Yarman; Syafiuddin, Ardani F; Putranto, Agi S
The New Ropanasuri Journal of Surgery
Publisher : UI Scholars Hub

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Background Pancreatic cancer affects 25,000 to 30,000 people in the United States each year and is the fourth or fifth leading cause of cancer-related death in this country. It is generally resected by pancreaticoduodenectomy, with or without preservation of the pylorus and proximal duodenum. Anastomotic leaks, intra-abdominal abscesses, and delayed gastric emptying account for most of the perioperative complications after pancreaticoduodenectomy. Anastomotic leaks of pancreas are resulted pancreatic fistula about 45%. A lot of study that have been done to find risk factors of postoperative pancreatic fistula (POPF) with contradictive results. Method This study was done for 70 patients of pancreaticoduodenectomy procedure. Data was collected from medical record in 2016-2019. The data are pancreatic texture, pancreatic duct diameter, pancreaticojejunal anastomotic technique, use of stent in pancreaticojejunal, and POPF. We analyzed the data bivariat with Spearman. Results There are 41,4% male and 58,6% female, Patient with underweight about 21,4%, normoweight 57,1%, overweight 15,7%, dan obese 5,7%. Patient with Diabetes Melitus (DM) about 11,4% and no DM 88,6%. The mean of blood glucose is 136,03 mg/dl. Patient with no POPF about 21,4% and with POPF 78,6%. The A type POPF about 69,1%, B type 14,5%, and C type 16,4%. Pancreatic duct diameter 78,6% and >3 mm about 21,4%. Soft texture pancreas about 22,9% and hard 77,1%. Use of stent about 21,4% and no stent 78,6%. Pancreaticojejunal anastomotic type of dunking or invaginating about 82,9% and duck to mucosa sebanyak 17,1%. The significant risk factor in univariate analysis is diameter of the pancreatic duct (p=0,007). Conclusion Diameter of the pancreatic duct can be used as a risk factor to predict POPF in pancreaticoduodenectomy procedure.
The use of Laparoscopy In Treatment of Perforated Peptic Ulcer: A Literature Review Soeratman, Alif R; Putranto, Agi S
The New Ropanasuri Journal of Surgery
Publisher : UI Scholars Hub

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Quality of Life of Post-Gastrectomy Patients: A Study in Indonesia's National Central Hospital Napitupulu, Herlan; Putranto, Agi S
The New Ropanasuri Journal of Surgery
Publisher : UI Scholars Hub

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Introduction. Several studies suggest gastrectomy is associated with deterioration in a patient's quality of life (QOL). This study is conducted to assess the impact of distal (DG), proximal (PG), or total (TG) gastrectomy and the cause of disease on a patient's QOL. Method. This retrospective study was conducted in dr. Cipto Mangunkusumo Hospital with collected data from the medical records throughout July-September 2020. Inclusion criteria were patients after proximal, distal, or total gastrectomy for a tumor or any non-tumor indications. They were assessed using the World Health Organization Quality of Life Questionnaire Abbreviated Version (WHOQOL-BREF). Collected data were further analyzed using statistical univariate and bivariate analysis. Results. Sixty-six patients with a mean age of 47.12 ± 14.5 years were enrolled in the study. We found significant differences between the proximal, distal, and whole groups with the environmental domain and the total WHOQOL-BREF values. The median scores for the environmental domain were 63 (50–88), 69 (50–88), 56 (50–75), and the mean WHOQOL-BREF total scores for proximal, distal, and total gastrectomy patients were 64.42 ± 9.34, 67.19 ± 9.44, 59.12 ± 8.04 for the proximal, distal, and total groups, respectively. Subjects with an etiology of malignancy had a lower median WHOQOL-BREF score in most domains. However, there was no significant difference in WHOQOL-BREF scores between non-tumor and tumor subjects. Conclusion. This study found decreasing patients' QOL after total gastrectomy compared with distal and proximal in the environmental domain and the total WHOQOL-BREF value. There was no difference in post-gastrectomy patients' QOL between tumor and non-tumor etiology in all WHOQOL-BREF domains.
Prediction of Liver Volume from Liver Transplant Donor using Biometric Formula compared with Computed Topography Volumetry Putranto, Agi S; Syafina, Adinda B; Sekarsari, Damayanti; Mazni, Yarman; Moenadjat, Yefta
The New Ropanasuri Journal of Surgery
Publisher : UI Scholars Hub

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Introduction. Liver volume calculation is critical in assessing the compatibility and resectability of the graft in living donor liver transplants (LDLT). An accurate estimation of liver volume is a predictor for successful LDLT. The gold standard of liver volume estimation is CT Volumetry. Despite several limitations in the availability of software, facility, and time consumed, there is still disagreement of biometric formula to predict liver volume in Indonesia. Methods: A cross-sectional design study was carried out in Dr. Cipto Mangunkusumo General Hospital, enrolling those who underwent liver transplantation from 1st January 2010 – 3rd October 2019. Bodyweight, body height, body mass index, body surface area, and CT volumetry were the variables of interest in the study and were subjected to analysis. Result. Body weight, body height, and body surface area are found from multivariate analysis in this research. Multivariate logistic regression of body weight with caudal liver volume giving out liver volume estimated equation of estimate liver volume of 479.23 + 13.95 (bodyweight). The equation in this study proposes a biometric formula to estimate liver volume using bodyweight based on Indonesian anthropometry. Conclusion: Bodyweight is proposed for equation formation based on a characteristic patient feature in Indonesia. Accuracy testing of the liver estimation equation discovered in this study proposed an entirely satisfactory result in the Indonesian population
Factors Affecting Renal Function on Ileostomy in Dr. Cipto Mangunkusumo General Hospital: a Cross-sectional study Sihardo, Lam; Putranto, Agi S
The New Ropanasuri Journal of Surgery
Publisher : UI Scholars Hub

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Introduction. Every year, about 30—60 ileostomy with various underlying diseases and indications were created in Dr. Cipto Mangunkusumo General Hospital (CMGH). There were a lot of complications attributable to these creations; one is the decline of renal function. The study goal was to find out factors influencing the renal function of ileostomy in CMGH. Method. A cross-sectional study was conducted using medical records in April – May 2021. Samples were taken using the purposive sampling method. Inclusion criteria include male or female patients who underwent ileostomy closure in CMGH in the last four years with complete BMI, ileostomy creation and closure, serum creatinine, and estimated glomerular filtration rate (eGFR). Patients with underlying renal dysfunctions were excluded. The data were analyzed using univariate and bivariate analysis. Spearman’s test was used to analyze the correlation. Results. There were 55 subjects enrolled in the study. BMI (peGFR = 0.044; pcreatinine = 0.015), time of ileostomy closure (peGFR = 0.014; pcreatinine = 0.012), and high output ileostomy (peGFR = 0.032; pcreatinine = 0.018) were statistically significant as risk factor diminishing the renal function. The correlation analysis showed that time of ileostomy closure was significantly different for eGFR and serum creatinine values with p = 0.039 (r = -0.279) and p = 0.021(r = 0.310), respectively. Conclusion. In the study, factors that affect critical renal function in ileostomy were high output ileostomy, time of ileostomy closure, and body mass index. Hydration status, underlying disease, and age did not affect the diminished renal function.
Co-Authors Mazni, Yarman Napitupulu, Herlan Sekarsari, Damayanti Sihardo, Lam Soeratman, Alif R Syafina, Adinda B Syafiuddin, Ardani F Yefta Moenadjat