URETEROAPENDICS-APENDICOVESICAL ANASTOMOSIS IN BILATERAL URETERAL NECROSIS AFTER W POCH RADICAL CYSTECTOMY AND LITERATURE REVIEW

Abstract

Bladder cancer is the second most common cancer of the urogenital system. At the time of diagnosis, 25% of all bladder cancer has muscle invasion (MIBC). Gold standard treatment in MIBC is radical cystectomy and lymph node dissection. The type of urinary diversion following radical cystectomy is decided by evaluating the individual health status and bladder cancer stage of the patients. In surgical anastomosis, attention should be paid to ureters’ blood supplies and ureteral necrosis should be avoided. In this case, after radical cystectomy, the use of appendix due to ureter necrosis in uretero-vesical anastomosis and literature results were reviewed.

Keywords

• Radical cystectomy
• Radical cystectomy
• appendix
• ureter
• urinary diversion

W POŞ SİSTEKTOMİ SONRASI GELİŞEN BİLATERAL ÜRETER NEKROZUNDA ÜRETEROAPENDIKS-APENDIKOVESICAL ANASTOMOZ VE LİTERATÜRÜN TARANMASI

Abstract

Mesane kanseri ürogenital sistemin en sık görülen ikinci kanseridir. Tanı anında %25’ i kasa invaze (KIMK) olan mesane kanserinde altın standart tedavi radikal sistektomi ve lenf nodu diseksiyonudur. Radikal sistektomi sonrası uygulanacak üriner diversiyon tipine hastaların bireysel sağlık durumu ve mesane kanseri evresi değerlendirilerek karar verilir. Üreter anastomuzu esnasında beslenmesine dikkat edilmeli ve üreter nekrozundan kaçınılmalıdır. Bu olguda radikal sistektomi sonrası erken dönemde gelişen üreter nekrozunda üreterovezikal anastomozda apendiks kullanımı ve literatür sonuçları taranmıştır.

Keywords

• radikal sistektomi
• apendiks
• üreter
• üriner diversiyon

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