TY  - JOUR
T1  - Açık Parsiyel Nefrektomi Deneyimlerimiz ve Literatürün Gözden Geçirilmesi
TT  - Our Experiences of the Open Partial Nephrectomy and Review of The Literature
AU  - Altunkol, Adem
AU  - Tümer, Erbay
AU  - Deniz, Mehmet Eflatun
AU  - Ünal, Umut
AU  - Gürlen, Güçlü
AU  - Şener, Nevzat Can
AU  - Gürbüz, Zafer Gökhan
PY  - 2019
DA  - March
Y2  - 2019
JF  - Harran Üniversitesi Tıp Fakültesi Dergisi
PB  - Harran Üniversitesi
WT  - DergiPark
SN  - 1304-9623
SP  - 89
EP  - 92
VL  - 16
IS  - 1
LA  - tr
AB  - Amaç:Böbrekkanseri tüm ürolojik kanserler içerisinde 3. Sırada olmasınarağmen mortalitesi en yüksek olanıdır. Görüntülemetekniklerinin artması ile görülme sıklığı artmaktadır. Böbrek kitlelerinde parsiyel nefrektomi;  radikal nefrektomi ileeşit onkolojik sonuçlar göstermesi ile uygun renal kitlelerdegereksiz organ kaybını önlemektedir. Biz bu çalışmamızdakliğinimizde renal kitle nedenli yapılan açık parsiyel nefrektomi(APN) sonuçlarımızı değerlendirmeyi amaçladık.Materyal ve metod:KliniğimizdeOcak 2011- Temmuz 2017 yılları arasında renal kitle nedeni ile APNyapılan hastaların dosyalarını geriye dönük olarakdeğerlendirmeye aldık.  Hastalarımızın tümör çapı, hastanede kalış süresi, patoloji sonuçları, postoperatiftakiplerimizi değerlendirdik.Bulgular:Kliniğimizdetoplam 132 hasta çalışmaya alındı. Yaş ortalaması 54 ± 1.2yıldı ve bu hastaların 69’u erkek (%52.2),63’ü kadındı (%43.8).  Bu hastaların 64 (%48.4) tanesinin kitlesol tarafında iken 68(%51.6)  tanesinde sağ tarafta idi. Patolojisonuçlarında ise 132 hastanın 106 ‘sı (%79.1) renal hücrelikarsinom (RCC) , 12‘si (%8.9) anjiomyolipom, 5‘i (%3.7)apse-kronik pyelonefrit, 5’i (%3.7) onkositoma, 3’ü (%2.2)leomiyoma ve 1’i (%0.75) malign epitelyal tümör olarakraporlandı. 3 (%2.2) hastada cerrahi sınır pozitif olarakraporlandı. Ancak hiçbir hastanın takiplerinde lokal nüks veyasistemik metastaz saptanmadı.Sonuç:Böbrekkoruyucu cerrahide, hemoraji çok ciddi bir komplikasyondur.Hemorajiyi engellemek için klasik yöntem olan geçici klemplemeninyanında, parankim kompresyonunun da etkin ve güvenilir bir yöntemolarak kullanılabileceğini düşünmekteyiz.
KW  - Böbrek kanseri
KW  - parsiyel nefrektomi
KW  - nefron koruyucu cerrahi
N2  - Background:Kidneycancer has the highest mortality in despite of being the 3rd mostcommon types of urological cancers.  The increase in the number ofimaging techniques increases the rate of incidence. Partialnephrectomy in renal masses demonstrates similar oncologic outcomeswith radical nephrectomy which preventing unnecessary organ loss inappropriate renal masses. In this study, we aimed to evaluate ourresults of open partial nephrectomy (OPN) in our clinic due to renalmass.Methods:Weretrospectively evaluated the files of patients who underwent openpartial nephrectomy for renal masses between January 2011 and July2017 in our clinic. We assessed our patients' tumor size, duration ofhospital stay, pathology results, and postoperative follow-up. Results:Atotal of 132 patients were enrolled in the study. The mean age was 54± 1.2 years and 69 of these patients were male (52.2%) and 63 werefemale (43.8%). The mass was on the left side of 64 (48.4%) of thesepatients and 68 (51.6%) on the right side. In pathology results, 106(79.1%) renal cell carcinoma (RCC), 12 (8.9%) angiomyolipoma, 5(3.7%) abscess-chronic pyelonephritis, 5 (3.7%) oncocytomas, 3 (2.2%)leiomyomas, 1 (0.75%) malignant epithelial tumor were reported in 132patients. 3 (2.2%) patients were reported to have positive surgicalmargin. However no local recurrence or systemic metastasis wasdetected in any of the patients.Conclusions:In nephron sparing surgery, haemorrhage is a very serious complication.In our opinion, parenchymal compression can be used as an effectiveand reliable method besides the temporary clamp, which is theclassical method to prevent hemorrhage.
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CR  - .
UR  - https://dergipark.org.tr/tr/pub/hutfd/issue//505035
L1  - https://dergipark.org.tr/tr/download/article-file/677138
ER  -