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

Yıl 2013, Cilt: 16 Sayı: 2, 57 - 60, 01.04.2013

Fatih Güçer Koray Özbay Nuri Ceydeli

Öz

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

Anahtar Kelimeler

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

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

Öz

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.

Anahtar Kelimeler

Robotik Cerrahi, Radikal Parametrektomi, Serviks Kanseri, Eksik Cerrahi

Kaynakça

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