Özgü AYDOĞDU, İbrahim KÜÇÜKTÜRKMEN, Salih POLAT, İbrahim Halil BOZKURT, Volkan ŞEN, Tansu DEĞİRMENCİ, Tarık YONGUÇ, Bülent GÜNLÜSOY, Süleyman MİNARECİ

AÇIK PARSİYEL NEFREKTOMİ SONUÇLARIMIZ: 5 YILLIK KLİNİK DENEYİM

Böbrek tümörleri erişkin tümörlerinin % 3’ünü oluşturmaktadır. Günümüzde yaygın olarak kullanılan ultrasonografi US , bilgisayarlı tomografi BT , manyetik rezonans görüntüleme MRG gibi radyolojik tetkikler sayesinde böbrek tümörleri erken evrelerde ve küçük boyutlarda saptanabilmektedir. Küçük tümörlerde nefron koruyucu cerrahi radikal nefrektomiye denk onkolojik sonuçları ile standart bir yöntem haline gelmiştir. Bu çalışmada kliniğimizde 5 yıl boyunca açık parsiyel nefrektomi yapılan 39 hasta değerlendirildi. Hastaların çoğunda renal kitle non-spesifik şikayetler ile yapılan tetkikler sonucunda saptandı. Patolojik incelemede 9 hastada benign tümör saptandı. Malign tümörler arasında en sık berrak hücreli karsinom saptandı. Tüm hastalarda cerrahi sınır negatifdi. Komplikasyon olarak en sık transfüzyon gerektiren kanama ve ateş saptandı. Açık parsiyel nefrektomi özellikle küçük renal kitle varlığında uygun hastalarda güvenle uygulanabilen etkili bir cerrahi seçenektir

Anahtar Kelimeler:

böbrek tümörü, parsiyel nefrektomi, nefron koruyucu cerrahi

OUTCOMES OF OPEN PARTIAL NEPHRECTOMY: 5 YEAR CLINICAL EXPERINCE

Kidney tumors comprise 3% of adult tumors. Nowadays, renal tumors can be detected in early stage and small size due to widely used ultrasonography US , computed tomography CT , magnetic resonance imaging MRI as radiological examinations. Nephron-sparing surgery has become a standard method with equal oncologic outcomes with radical nephrectomy in small size tumors. In this study, 39 patients who underwent open partial nephrectom for 5 years were evaluated. Renal mass was detected as a result of examination carried out by non-specific complaints in most of patients. Pathological examination revealed a benign tumor in 9 patients. Most commonly detected tumor was clear cell carcinoma. Surgical margins were negative in all patients. The most frequent complications was bleeding requiring transfusion and fever. Open partial nephrectomy is particularly effective surgical options that can be performed safely in appropriate patients with small renal mass

Keywords:

kidney tumor, partial nephrectomy, nephron sparing surgery,

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