marmara med j Marmara Medical Journal 1019-1941 1309-9469 Marmara University 10.5472/marumj.430817 Clinical Sciences Klinik Tıp Bilimleri Over kanserinde intraperitoneal kemoterapi esnasında gelişen katater ilişkili komplikasyonların yönetimi: İki olgu sunumu ve literatür derlemesi Management of catheter-related complications during intraperitoneal chemotherapy for ovarian cancer: Two case reports and review of the literature Kımyon Comert Gunsu Turkmen Osman Karalok Alper Basaran Derman Kılıc Cigdem Koc Sevgi Kayıkcıoglu Fulya Boran Nurettin 06 05 2018 31 2 88 93 02 07 2018 04 04 2018 Copyright © 1988, Marmara Medical Journal 1988 Marmara Medical Journal

Bu çalışmada, over kanseri tanısıyla sitoredüktif cerrahiyi takibenuygulanan intraperitoneal kemoterapi (İPK) esnasında meydanagelen kateter ilişkili komplikasyona sahip iki hasta sunulmuştur.Hastalardan birinde bağırsak perforasyonu gelişmiştir. Portçıkarılmış ve kolostomi uygulanmıştır. Diğer hastada ise, kateterdeblokaj gelişmiş ve kateter boyunca uzanan fibröz adezyonunserbestleştirilmesi ile komplikasyon yönetilmiştir. Kemoterapiher iki olguda da gecikme olmaksızın 16 haftada tamamlanmıştır.Seröz over kanserinde optimal sitoredüktif cerrahi sonrası İPK,sağkalımı arttırarak umut vaad etmektedir. Klinik uygulamayaadaptasyonu zorlaştıran nedenlerin başında gelen kateter ilişkilikomplikasyonlar kemoterapinin tamamlanmasında gecikmeolmaksızın yönetilebilmektedir.

In this article, we presented two cases with catheter-relatedcomplications that occurred during intraperitoneal chemotherapy(IPC) following comprehensive cytoreductive surgery for ovariancarcinoma. One of the patients had bowel perforation which wasmanaged by removing the port and creating a colostomy. Theother had catheter blockage that was managed by releasing thecatheter from the fibrous adhesion. Both patients completed allcycles of chemotherapy without delay. IPC following optimalcytoreductive surgery in serous ovarian carcinoma holds promiseto improve survival. Catheter-related complications are one of themajor barriers that health care centers experience with the use ofcatheters in clinical practice. Yet, they can be managed withouthaving any delays in chemotherapy treatments.

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