Ergün ALMA, Adem ALTUNKOL, Hakan ERÇİL, Güçlü GÜRLEN, Nevzat Can ŞENER, Zafer Gökhan GÜRBÜZ

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

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

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.

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