Pelvimetrik Ölçümlerin Açık Retropubik Radikal Prostatektomi Operasyon Süresi Üzerine Etkileri

Year 2023, Volume: 15 Issue: 2, 69 - 74, 31.05.2023

Mustafa Aydın Lokman İrkilata Mustafa Koray Kırdağ Uğur Öztürk Mehmet Özen Emrah Küçük Hakan Yıldız Reha Ordulu Mustafa Kemal Atilla

Abstract

Amaç: Pelvimetrik ölçümlerin, prostat kanseri sebebiyle açık radikal retropubik prostatektomi olan hastalarda
operasyon süreleri üzerine etkisini araştırmak.

Gereç ve Yöntemler: 2014-2022 yılları arasında açık radikal retropubikprostatektomi yapılan ve radyolojik görüntülerine
ulaşılan 60 hasta çalışmaya dahil edildi. Hastaların demografik özellikleri, patoloji raporları ve ameliyat
notları kaydedildi. Hastaların operasyon öncesi çekilen düz grafileri, pelvik manyetik rezonans ve bilgisayarlı
tomografi görüntüleri incelendi. Anterior-superioriliak çıkıntılar arası uzunlık (ASİÇU), transvers pelvik girim çapı
(TPGÇ), intertuberoz uzunluk (İTU), anteroposterior pelvik girim çapı (APGÇ), pubik yükseklik (PY), superior pubis-
mid-tuberoz nokta uzunluğu (SPMNU) ve infrapubik açı (İA) ölçümleri yapıldı. Ölçümlerin operasyon süresi
üzerine etkileri değerlendirildi.

Bulgular: Hastaların ortalama yaşları 63,21±15,12, ortalama vücut kitle indeksleri 25,95±5,45 olarak bulundu.
Hastaların ortalama prostat volümleri 52,15±21,2 mL, prostat spesifik antijenleri (PSA) 20,48±5,34 ng/ml ve operasyon
süreleri 137,36±30,2 dakika olarak ölçüldü, 24 (%40) hastanın Gleason skoru 7 ve üzerinde idi, 20 (%33)
hastada parmakla rektal muayene bulgusu vardı ve hastaların 18’i (%30) pT3 evredeydi. Pelvimetrik ölçümlerin
operasyon süresi üzerine etkisi incelendiğinde ise ölçümlerle operasyon süresi arasında bir korelasyon saptanmamıştır.

Sonuç: Hastaların anatomik özellikleri açık radikal retropubik prostatektomi operasyonu üzerine etkili olabilir
fakat çalışmamız sonucunda pelvimetrik ölçümlerin operasyon süresi üzerine bir etkisi saptanmamıştır.

Keywords

prostat kanseri, radikal prostatektomi, pelvimetrik ölçümler

The Effects of Pelvimetric Measurements on the Operation Time of Open Retropubic Radical Prostatectomy

Abstract

Objective: To investigate the effect of pelvimetric measurements on the operative time of patients who
underwent open radical retropubic prostatectomy for prostate cancer.

Material and Methods: Sixty patients who underwent open radical retropubic prostatectomy between
2014 and 2022 and who seradiological images were accessed were included in the study. Demographic
characteristics, pathology reports and surgery notes of the patients were recorded. Preoperative X-rays,
pelvic magnetic resonance and computed tomography images of the patients were examined. Inter-antero
superior iliac spine distance (IASISD), Transverse pelvic brim distance (TPBD), Inter tuberous distance
(ITD), Anteroposterior pelvic brim distance (APBD), Pubic height (PH), Superior pubis to mid-tuberous point
(SPMP) and Infrapubic angle (IA) measurements were made.The effects of the measurements on the operation
time were evaluated.

Results: The mean age of the patients was 63.21±15.12, and the mean body massindex was 25.95±5.45.The
mean prostate volume of the patients was 52.15±21.2 mL, prostate specific antigen (PSA) was 20.48±5.34
ng/ml, and the operation time was 137.36±30.2 minutes. 24 (40%) patients had a Gleasonscore of 7 and
above, 20 (33%) patients had digital rectal examination findings and 18 (30%) patients were in pT3 stage.
When the effect of pelvimetric measurements on the operation time was examined, no correlation wasfound
between the measurements and the operation time.

Conclusion: The anatomical features of the patients may have an effect on the open radical retropubic
prostatectomy operation, but as a result of our study, we did not find any effect of pelvimetric measurements
on the operation time.

Keywords

prostate cancer, radical prostatectomy, pelvimetric measurements

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