ROBOTİK RADİKAL PARAMETREKTOMİ, PELVİKLENFADENEKTOMİ, VAJEN 1/3 ÜST KISMININ ÇIKARILMASI:OLGU SUNUMU

Abstract

Objective: To present a case treated by “Robotic Radical Parametrectomy, Pelvic Lymphadenectomy, Resection of the Upper 1/3 Vagina” operation. Case: A 61 year old patient was admitted to our clinic because of the diagnosis of invasive cervical cancer after simple hysterectomy. “Robotic Radical Parametrectomy, Pelvic Lymphadenectomy, Resection of the Upper 1/3 Vagina” operation was offered to patient due to incomplete surgery. Surgery was completed succesfully and no intra-operative or post-operative complications were observed. Results: 35 pelvic lymph nodes were obtained during the operation and the console time was 277 minutes. All lymph nodes, parametria and vaginal cuff were negative for metastatic disease. Blood transfusion was not necessary for the patient, neither per-operatively nor post-operatively. Bladder catheter was removed on the 14th postoperative day, after a residual urine volume of 90 cc. Robotic radical parametrectomy represents an effective alternative to other methods in terms of feasibility and safety. Radical parametrectomy avoids the use of radiotherapy in approximately 78-80 % of the patients with occult cervical cancer. To our best knowledge “Robotic Radical Parametrectomy, PND, Resection of the Upper 1/3 Vagina” operation has not been published from our country and articles about this subject were limited and low in number in English literature

Keywords

• Robotic Surgery
• Radical Parametrectomy
• Occult Cervical Cancer
• Incomplete Surgery

ROBOTİK RADİKAL PARAMETREKTOMİ, PELVİKLENFADENEKTOMİ, VAJEN 1/3 ÜST KISMININ ÇIKARILMASI:OLGU SUNUMU

Abstract

Amaç: “Robotik radikal parametrektomi (RRP)+pelvik lenfadenektomi (PND)+vajen 1/3 üst kısmının çıkarılması” ameliyatı uygulanan olgunun sunumu. Olgu Sunumu: Basit histerektomi sonrası invazif servikal kanser tespit edilen 61 yaşındaki hasta kliniğimize başvurdu. Hastaya “eksik cerrahi uygulanmış serviks kanseri” tanısıyla “RRP+PND+Vajen 1/3 üst kısmının çıkarılması” ameliyatı önerildi ve sonrasında başarıyla uygulandı. ‹ntra-operatif veya post-operatif komplikasyon olmadı. Sonuçlar: Konsol süresi 277 dakika olan ameliyatta toplam 35 adet pelvik lenf nodu çıkarıldı. Lenf nodlarında, parametriumlarda, vajen manşetinde metastaz saptanmadı. Hastaya per-op veya post-op kan transfüzyonu gerekmedi. Hastanın üriner sistem kateteri rezidü- el idrarın 90 cc gelmesi üzerine post-op 14. gün çekildi. Robotik radikal parametrektomi uygulanabilirlik ve güvenlik açı- sından diğer yöntemlerle karşılaştırıldığında efektif bir alternatif olarak görünmektedir. Occult serviks kanserlerinde radikal parametrektomi yapılan vakaların % 78-80’inde radyoterapinin gerekliliği önlenmektedir. Yaptığımız literatür araştırmasında, “RRP+PND+Vajen 1/3 üst kısmının çıkarılması” ameliyatının daha önce ülkemizden yayınlanmamış olduğunu ve literatürde de bu konudaki yayınların kısıtlı olduğunu tespit ettik.

Keywords

• Robotik Cerrahi
• Radikal Parametrektomi
• Serviks Kanseri
• Eksik Cerrahi

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