Mesane Kanserinde Radikal Sistektomi Operasyonunun Önemi ve Takip Döneminde Karşılaşılan Komplikasyonlar: Tek Merkez Deneyimi

Öz

Amaç: Kliniğimizde yapılan radikal sistektomi operasyonlarının onkolojik ve fonksiyonel sonuçlarının değerlendirilmesi.
Materyal ve metod: Eylül 2016 ve Haziran 2019 tarihleri arasında gerçekleştirilen 42 sistektomi hastasının kayıtları retrospektif olarak incelendi. Demografikler, patolojik inceleme sonuçları, diversiyon yöntemleri, hospitalizasyon süreleri, ortalama takip süresi ve oluşan komplikasyonlar değerlendirildi.
Bulgular: Çalışmamız yaş ortalaması 65.1±8.8 yıl olan 4 kadın ve 38 erkek hasta olmak üzere toplam 42 hastadan oluşmaktaydı. Ortalama hastanede yatış süreleri 18.7±8.3 gün ve ortalama takip süresi 10.8±6.1 ay idi. 15 hasta(%35.7) sistektomi öncesi neoadjuvan kemoterapi almıştı. Sistektomi materyallerinin patolojik değerlendirmesinde 19 pT1 ve 19 pT2, 6 pT0, 2 pT4 evre saptandı. En sık yapılan diversiyon ileal loop idi. Takip periyodunda 26 (%61.9) hastada değişik derecelerde komplikasyon izlendi.
Sonuç: Radikal sistektomi operasyonu morbiditesi yüksek ve bazen mortal olabilen bir cerrahi olmasına rağmen onkolojik sonuçları ile beraber değerlendirildiğinde deneyimli merkezlerde başarı ile uygulanabilen bir cerrahi prosedürdür. 

Anahtar Kelimeler

• Sistektomi,diversiyon,ileal loop

Importance of Radical Cystectomy Operation in Bladder Cancer and Complications Encountered During Follow-up: Single Center Experience

Öz

Background: To evaluate the oncological and functional results of radical cystectomy operations performed in our clinic.
Materials and Methods: The records of 42 cystectomy patients performed between September 2016 and June 2019 were reviewed retrospectively. Demographics, pathological examination results, diversion methods, hospitalization time, mean follow-up and complications were evaluated.
Results: Our study consisted of 42 patients (4 female and 38 male) with a mean age of 65.1 ± 8.8 years. The mean hospital stay was 18.7 ± 8.3 days and the mean follow-up was 10.8 ± 6.1 months. Fifteen patients (35.7%) had received neoadjuvant chemotherapy before cystectomy. Pathologic evaluation of cystectomy materials revealed 19 pT1 and 19 pT2, 6 pT0, 2 pT4 stages. The most common diversion was ileal loop. During the follow-up period, 26 (61.9%) patients had varying degrees of complication.
Conclusions: Radical cystectomy is a surgical procedure that can be performed successfully in experienced centers when evaluated with its oncologic results, although it is a highly morbid and sometimes mortal surgery.

Kaynakça

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