Sandat 111 / Post Op / dr.
MUL : Sukesi -Post Laparotomi Adhesiolisis +
Windyarini / P / 48th / 01209912
207 / Kemoterapi / dr. MUL : I
Gusti Ayu Utari Rakawati / P /
66th / 22017463
208 / Kemoterapi / dr. MUL :
Komalasari / P / 52th / 22013046
210 / Post Op / dr. MUL : I Gede
Ketut Eka Swara / L / 55th /
19017684
Biopsi Uterus H2 (27/5/2022)
- Adhesi grade IV jejunum -ileum +
hepar - diafragma
- Nodul uterus
Post Laparotomi Biopsi H3
(25/7/2022)
Tumor intraabdonen extralumen
susp malignancy
Hemoroid interna grade III
Tumor serebri e.c susp metastase
Nodul paru e.c susp. metastase
Portal vein IVC thrombosis
Mild loculated pericardial effusion
tanpa tanda tamponade
CKD Stg III ec susp tumor renal D
Obs. Trombositopenia e.c. suspect
Myeloptisik (126) membaik
Anemia ringan (10.5) membaik
Obs. hiponatremia (129)
Adenocarcinoma rectum
moderately differentiated
T4bN2aM0
Post Laparotomi + Colostomy
(4/7/22)
Fistulo rectovagina
Post Laparotomi Biopsi H3
(25/7/2022)
Tumor intraabdonen extralumen
susp malignancy
Hemoroid interna grade III
 Tumor serebri e.c susp metastase
Nodul paru e.c susp. metastase
Portal vein IVC thrombosis
Mild loculated pericardial effusion
tanpa tanda tamponade
CKD Stg III ec susp tumor renal D
Obs. Trombositopenia e.c. suspect
Myeloptisik (126) membaik
Anemia ringan (10.5) membaik
Obs. hiponatremia (129)
Jepun 115 / Perbaikan KU / dr. MUL : I - Total ileus obstruksi ec Adhesi
Nyoman Kesuma / L / 57th / grade IV jejunum-ileum, Band
21002548 ileum (140cm dr ICJ), Perforasi
jejunum (70cm dr treitz) + tumor
ileum susp metastase proses +
Tumor rectosigmoid susp
malignancy
- Post laparotomy eksplorasi +
release adhesi + reseksi tumor
ileum + side to side anastomosis
ileoileal + primary hecting jejunum
(9/4/22)
- Adeno Ca esophagus (pT3 pNO
pMx)
- Post Laparotomy Total
Gastrektomi + Esofagectomy +
anastomosis (jejuno-esofagustomi
+ jejuno-jejunostomi) +
Omentektomi + Diseksi KGB +
jejostomy Feeding (Feb 2021)
- Reaksi hipersensitivitas
- Post Kemoterapi Cisplatin 5FU 3
seri (Mei 2021)

Wijaya K 1/Kemoterapi/dr.MAD: Herry
Kusuma Indiyah Wismani/P/66th/
20010997
Pro Kemoterapi Folfiri seri I
K.04 / Perbaikan KU / dr. MUL :
Drs. I Made Sejati / L / 59th /
19025905
- Vomiting
- Low intake
- Leukositosis (12.97)
- Anemia ringan (12.0)
Adenoca Sigmoid (T3NxM1) meta
liver
Post Laparatomy + Adhesiolisis +
reseksi tumor colon sigmoid + end
to end anstomose +
appendisectomy (7/3/2020)
Post kemoterapi Capeox Seri IX
Ductal Adenocarcinoma,
moderately-poorly differentiated
pancreas, St IV, pT3N2M1, meta
hepar
Post Laparotomi Release Adhesi +
Biopsi Hepar-Pankreas +
Kolesistektomi + bypass
gastrojejunostomi-
choledocojejunostomy-
jejunojejunostomy with braun
anastomosis + insersi drain
subhepatal + cavum pelvis
(31/5/22)
Post Kemoterapi paliatif
gemcitabine seri II (13/7/2022)
DM tipe II on terapi
Malnutrisi berat
Obs melena
Cancer pain (VAS 4)
KS 60
Leukositosis (33.55)
Anemia berat (7.8)

K 14 / Post Op / dr. RSD : Suryati
Bernadete / P / 46th / 22030301
Mahottama 203.1 Work Up Diagnostic / dr.
MAY : A.A Ngurah Putra / L/ 74
th/22037274
CT scan abdomen + C
203.2/ Post Op / dr.MAD: AA
Ngurah Dalam Astagina / L /
59th / 22034278
205.1 / Post Op / dr. MAY : HJ
Hatika / P / 71th / 20003532
Trombositopenia (115)
Hipoalbuminemia (2.64)
Hiponatremia (133)
Hipokalsemia (6.8)
-Peritonitis Generalisata ec
leakage anastomosis
- Total ileus obstruksi ec. Tumor
colon transversum cT4N1M1
(meta hepar)
- Post Laparotomy + surgical
staging + adhesiolisis + extended
hemicolectomy D H6 (21/7/22)
- Ca Ovarium stadium IIIC post
TAH-BSO-Debulking + adhesiolisis
(20/6/22)
- Hipoalbumin (2.67)
Tumor lien suspek malignancy
Post Laparotomy Low Anterior
Reseksi + Adhesiolisis +
appendisectomy + insersi drain
cavum pelvis H-2 (25/7/22)
Adenocarcinoma rectum well
differentiated T3N2M1a
Carcinoma poorly diff susp Pulang???
cholangiocarcinoma
Metastase Hepar

208.2 / Perbaikan KU / dr. MAD :
Ni luh putu ardani / P / 56th /
22037732
ct scan abdomen +C jika ku
optimal
301.1 / Perbaikan KU / dr. ST : I
Gede Susila, SE / L / 47th /
22026061
Billidigestif Selasa depan
Post laparotomi + biopsi hepar
(4/7/2022)
Pelebaran mediatinum susp massa
mediastinum
Hydronephrosis D/S
Hospital acquired Pneumonia
PPOK eksaserbasi akut
Gagal napas tipe 1
Hipertensi st I
Low back Pain ec suspek
metastasis bone disease
Suspek Cervical Root Syndrome ec
HNP Servical C4-C5, C5-C6, C6-C7
Halusinasi organik membaik
Gangguan Astenik Organik
Adeno carcinoma rectum well Tranfusi PRC
differentiated
anemia berat (6,9)
A:
- Post Laparotomy + External
Drainage Bilier (27/6/22)
- Ascites
- Obstruksi jaundice ec tumor
pankreas susp malignancy
- Multiple nodule hepar susp
metastase
- DM Type 2
- Hiperbilirubin (Bil. Total 19.20, Bil
direk 12.85)

301.2 / Pre Op / dr. ST : Yansen
Hadiputra / L /26 th /22026731
306.1 / Kemoterapi / dr. MAY :
Desak Nyoman Darmayanti/ P/
37th/ 01194411
Kemoterapi Folfiri seri VIII hari
kedua
Anggrek 2.1 / Kemoterapi / dr. MAD :
Sjenny Srihastuti Darmanto / P /
67 th / 22029559
2.2 /Kemoterapi/dr.RSD: Ni Luh
Tiari /P/ 44th/22023284
- Transaminitis (SGOT 165/SGPT
97.1)
- Anemia ringan (11.20)
- Hipoalbumin (2.41)
Fistula Perianal recurrent
Post fistulectomy H0 (27/7/22)
- Mucinous Adenocarcinoma
Rektum Low grade pT3N2aM0
- Post Laparotomi + Miles
procedure (23/12/22)
- Post adjuvant chemoterapi Folfiri
seri VII (2/7/22)
- Neutropenia (2.47)
Adenocarcinoma colon
transversum grade II T3N0M0
- Post Laparotomy +
Hemicolectomy S (6/6/22)
- Riw. Post Histerektomi (2009)
- Riw. Post appendisektomi (2016)
- Post Insersi Chemoport H0 Polikliniss
(21/7/2022)
- Adenocarcinoma colon
transversum grade II T3N0M0
- Post Laparotomy +
Hemicolectomy S (6/6/22)
- Riw. Post Histerektomi (2009)
- Riw. Post appendisektomi (2016)
3.2 Post Op / dr. MUL : Gede
Sedana / L / 44th / 22001618
4.2/Work up Dx/dr. RSD: Gst Ayu
Made Watri / P/70 thn /
22037913
7.1 / WorkUp Dx/ dr.RSD : I
Made Darmagunawan / L / 49
thn / 22037442
- Post laparoscopy diagnostic
convert Laparotomy adhesiolisis +
Distal esofagectomy + total
gastrectomy + bypass esofago-
jejunostomy+ jejunojejunostomy
(bypass Roux en Y) + eksisi tumor
infiltrasi peritoneum + insersi drain
subdiafragma H-1 (26/7/22)
-Tumor Esophagus 1/3 Distal
meluas ke gaster Susp. MALT
Post Kemo 4x Cyclo-Doxo
Vincristine (11/05/2022)
Parsial ileus obstruksi ec susp
Mucinousadeno ca colon
ascendens residif dd adhesi post
hemicolectomy D dd masa
ginekology
Post kemoterapi AC Folfox 4 XII
Seri
Cancer pain
Poliklinis???
 7.2 / Pre Op / dr. ST : I Made
Tamba / L / 49th / 22035030
Flamboyan 205.1 Pre Op / dr. MAY : Sri
Sunami / P / 63 th / 01240979
304.1 / Perbaikan KU / dr. ST :
Theresia Peda Milla /P/ 61thn/
22030306
309.1 Kemoterapi / dr. MAY : Luh
Suri Urpini / P / 57 th / 22027150
Post open Cholesistectomy H0
(27/7/22)
Cholelithiasis
Cholesistitis kronis
- Adenocarcinoma rectum 1/3
medial-proximal , High Grade
(pT3N0M0)
- Post laparoscopy convert open
laparotomi + LAR (reseksi tumor
rectum) + end to end anastomosis
rectum-sigmoid+pasang draim
cavum douglas(22/11/21)
- Post insersi chemoport
(27/12/21)
- Post Colonoscopy Biopsy
(7/11/21)
- Post Chemotherapy Folfiri seri ke
6 (3/6/22)
- Tumor Intraabdomen
(cT4cN1M1) st IV susp limfoma
- Fr. Pathologic CV L4 ec susp MBD
- DVT ext inferior bilateral
- Low intake
- Hidronefrosis sedang-berat
Dekstra
- leukositosis (18.61)
- hipoalbumin (2.16)
- hipokalemia (3.12)
- Adenocarcinoma rectum residif Poliklinis???
(Moderatelly Differentiated

Angsoka 101.3 / Perbaikan KU / dr. MAY :
A.A Made Putrawan/ L / 57 th/
22028211
104.5 / Pre Op / dr. MAY : I Gede
Sudiana / L /58 th / 21010274
105.3 / Pre op/ dr. RSD : Yohanes
Vianey Sili Tupen /L/ 21056297
Colonoscopy
107.1 / Pre Op / dr. MAY : I Gede
Budiarta / L/ 29 th/ 22005338
OK Hari ini
pT2cN0cM0
- Post Miles’ Procedure (10/12/20)
- Post Xelloda 3-0-3 (6 siklus)
- Post Kemoterapi Folfiri Seri 2
(2/7/22)
Obs melena ec susp tumoral
bleeding
Adenocarcinoma Duodenum
pT3pNxM0 (Carcinoma, Poorly
Differentiated)
Post Kemoterapi Folfiri Seri I
(19/7/22)
Anemia berat (4.7)
- Wound dehiscense post repair
colostomy ec inverted stoma
(27/6/2022)
- Sessile Tubulovillous Adenoma

107.2 / Perbaikan KU/ dr. MAY :
Moch Arief Anandi/ L/ 45th/
21036730/ BPJS
107.3/ Post Op / dr. RSD : I Made
Sadru / L / 59th / 22038177
108.2 / Workup Diagnostik/
with Low Grade Dysplasia rectum
- Fistula perianal
- Post Laparatomy + Miles
Prosedure (14/3/2022)
- Anemia ringan 9.80
-Adenocarcinoma colon ascendens
cT4bN1M0 (unresectable) Susp.
Meta Liver, Moderately
differentiated infiltrasi jejunum
(50 cm dan 70 cm dari
Ligamentum Treitz) dan
mesenterium
-Post laparotomy eksplorasi +
biopsy colon ascendens + jejuno-
jejunostomy side to side
anastomose + appendectomy +
ileostomy (25/7/21)
- Post kemoterapi Folfiri 6 seri
- Cancer pain
- Anemia berat terkoreksi (Hb
8.60)
- Leukositosis (16.7)
- Hipoalbumin (2.39)
Tumor flexura hepatika
dr.ST: I Nengah Nasib/L / 53th/
22036421
205.1/Kemoterapi/ dr. RSD: I
Wayan Carma/ BPJS/ 22006784/
L/ 71th
Pro Kemoterapi folfiri seri VI H-1
205.2 / Kemoterapi / dr.MAD:
Dewa Made Subiksu / L / 72th /
21058632
Kemoterapi Folfiri seri IV H-1
206.4/Kemoterapi/dr ST: Reva
ana laili/P/ 35th/ 22010636
folfiri seri III hari 2
ekstralumen
Hepatitis B Kronis susp degenerasi
maligna
Hiperbilirubinemia (Bil tot 3, direk
2.3)
Anemia ringan (9.9)
Low intake
Hipoalbumin (2.18) post trf alb 3
kolf
Cancer Pain (VAS 2) on analgetik
- Adenocarcinoma Anorektal
(NOS), low grade (formerly
moderately differentiated),
T4bN2M1a meta liver
- Post kemoterapi Folfiri seri V
(23/6/22)
- Adenocarcinoma rectum, St IV
T4N2M1 meta Paru, Progresive
disease
- DM tipe 2 on Insulin therapy
- Post kemoterapi Folfiri seri III
(5/7/22)
- Signet Ring Cell Carcinoma
Rectosigmoid (T3N1cM1) infiltrasi
dinding vagina posterior
- Post Laparotomy + Miles
Procedure (4/4/22)
- Post radioterapi seri ke 17
(26/7/2022)
- Post kemoterapi folfiri seri 2
(5/7/2022)
207.1 / Perbaikan KU / dr. RSD : I
Ketut Suarsana / L / 50th /
01627967
303.2 / Perbaikan KU/ dr. RSD :
Lilik Sulistyowati/ P/ 53th/
21052206
306.4 / Post Op / dr. MAD: Ni
Nyoman Suarniti / P/ 55th /
22011133
- Adenocarcinoma colon D (flexura
hepatica) pT3N0M0
- Post Laparotomi extended
hemicolectomy D
- Febrile neutropenia
- Adenocarcinoma Rectum PRC??
cT3N2M1 (meta paru) susp residif
- Post Colonoscopy surveillance +
biopsi (23/5/22)
- Tumor ovarium S susp malignansi
- hidroureteronefrosis sedang kiri
- Riw Total ileus obstruksi ec
striktur anastomosis coloanal +
asites + adhesi sedang colon
ascenden
- Post Laparotomy explorasi +
Hartmann procedure + drainase
asites + pasang drain (15/11/21)
- Polip recti
- Post Laparotomi + ULAR
procedure End to end anastomosis
+ Polipektomi + Insersi drain
cavum Douglas (4/10/21)
- Post kemoterapi Folfox VI seri 6
- Anemia (7.0)
Obs cholestatic jaundice ec tumor Puasa H-2
caput pankreas susp malignancy,
susp. Infiltrasi duodenum
Post laparotomy bypass
biliodigestive
cholecystojejunostomy -

308.2 / Pre op / dr ST : Ni Wayan
Sutiasih/P/41thn/21062901
RTI Timur Bed 4/Post Op/dr.MAD: Sri
Oetami/P/84th/22037976
Bed 8 / Post Op / dr. RSD :
Agustinus I Wayan Deddi / L /
45th / 22035214
jejunojejunostomy + biopsy KGB +
insersi drain subhepatal H.1
(26/7/2022)
Obs melena ec susp tumor
infiltration (membaik)
Anemia ringan ec susp akut
bleeding dd acd (membaik)
Adenocarcinoma Colon Descenden
pT3N0M0 Low Grade Moderately
differentiated
Post Hartman Procedure
(18/4/2022)
Post tutup stoma H-1
Total Ileus Obstruksi ec tumor
intralumen di colon transversum
flexura lienalis dan sigmoid
Post Laparotomy + omentectomy
+ subtotal colectomy + Hartmann
procedure + ileostomy end stoma
H.1 (26/7/2022)
- Post Laparotomy adhesiolisis +
biopsi hepar + biopsi omentum +
insersi drain subhepatal,
subdiafragma dan cavum pelvic
H.7 (20/7/22)
- Post tracheostomy H.3 (24/7/22)
- Sepsis (QSOFA 2)
- Hematemesis melena
- Ascites
- Abdominal kompartment
syndrome
- Pneumonia
 - DVT ekstremitas inferior D
- Hipoalbumin (1.81)
- Anemia sedang (7.6)
- Leukositosis (16.74)
- Trombositosis (523)
Mawar Bed 10 / Post Op / dr. MAD : - Post laparotomy + repair Hasil Gastroduodenografi
Hairul Anam / L / 42th / gastrostomy feeding H.11
22019983 (16/7/22)
- Post insersi trakeostomy
(16/7/22)
- Post aff tracheostomy
- Post insersi Gastrostomy Feeding
(29/05/2022) + Wound Dehiscence
- Carcinoma Nasofaring std IVA
(T3N3M0)
- Non Keratinizing Squamous Cell
Carcinoma
- HAP late onset (E. Coli)
Sepsis (QSOFA: 2)
Syok sepsis
- Post kemoterapi seri I
- Low intake
- Anemia berat terkoreksi (9.9)
- Hipoalbuminemia (2.54)
membaik
- Hipokalemia (2.54)
- Hiponatremia (142) membaik
Kamboja Bed 4 / Post Op/ dr. MAD : Ketut - Post Laparotomi eksplorasi +
Utara Dani/P/76th/22037481 insisi drainage abses hepar lobus D
+ adhesiolisis + insersi drain
intrahepatal & subhepatal H.3
(24/07/22)
- Peritonitis Generalisata ec Ruptur

Nusa Indah Km 4 / Post Op / dr. RSD : Ketut
Superni / P / 67th / 22037196
K10 Bed 1 / Observasi / dr.ST : I
Gusti Gede Kompiang /P/ 79 th/
22036716
Abses Hepar lobus D + Adhesi gr.
IV
- AKI dd ACKD on CKD (eLFG 38.73)
- Anemia (9.2)
- Leukositosis (18.27)
- Trombsitosis (557)
- Hiponatremia (129)
- Hipokalemia (3.28)
- Hipoalbumin (2.70)
- Post Laparotomy explorasi +
Omentum biopsi + colostomy
transversum D + insersi drain H.5
(22/7/22)
- Total Ileus Obstruksi ec Tumor
Colon Descenden susp Malignancy
(T3N1bM0)
- Pneumonia ec Terkonfirmasi
Covid-19 derajat berat
- AF NVR
- Efusi pleura D
- Observasi diafragma letak tinggi
- Dyspepsia syndrome
- Anemia Ringan (10.8)
- Hipoalbuminemia (2.67)
- Asites
- Terkonfirmasi covid 19 derajat
berat Pneumonia CAP PSI Class 4
- Sepsis
- Obs transaminitis ACKD ec
prerenal dd renal on CKD dd DKD
- Oliguria
- High risk on VTE
- DM tipe II
- HT terkontrol