Volkan TUĞCU, Selçuk ŞAHİN, İsmail YİĞİTBAŞI, Ali İhsan TAŞÇI

Testis tümörü nedeniyle açık RPLND uygulanmış hastada nüks eden kitlenin Laparoskopik retroperitoneal eksizyonu

Son zamanlarda teknolojinin tıbba yaptığı katkılarla ürolojide birçok ameliyat laparoskopik olarak yapılmaya başlanmıştır. Retroperitoneal lenf nodu diseksiyonu da (RPLND) laparoskopik yaklaşımla uygulanabilmektedir. Yirmidört yaşında erkek hastaya 7 yıl önce testis kitlesi nedeniyle orşiektomi yapılmış. Patoloji embriyonel karsinom gelmiş. Hasta 2 kür BEP (Bleomisin, Etoposide ve Sisplatin) tedavisi almış. Beş yıl sonra tümör belirteçlerinde yükselme ve retroperitonda kitle saptanmış. Açık transperitoneal yaklaşımla bilateral retroperitoneal lenf nodu diseksiyonu operasyonu yapılmış. Sonrasında AFP normal değerlere gelmiş. Takiplerinde 2 yıl sonra AFP 50 IU/mL saptanmış. Retroperitoneal nüks kitle saptanan hasta kliniğimize refere edilmiş. Hastaya laparoskopik retroperitoneal kitle eksizyonu yapıldı. Operasyon süresi 90 dakikaydı. Sol psoas kası infero-lateralinde 24 mm kitle eksize edildi. Hasta postoperatif ikinci günde direni consulted bir komplikasyon gelişmeden taburcu edildi.

Anahtar Kelimeler:

Laparoskopi, retroperiton, kitle, nüks

Retroperitoneal laparoscopic excision of the recurrence mass at the patient that is treated open RPLND due to testicular tumor

In recently many laparoscopic surgical procedures in urology have been performed successfully with the help of technological advances. It is an invasive procedure that is retroperitoneal lymph node dissection (RPLND) laparoscopic retroperitoneal approach can be applied. Twenty-four year-old male patient, 7 years ago has been performed radical orchiectomy at epicentral clinic. The pathology of testicular mass was embryonal carcinoma. Two cycles of BEP (bleomycin, etoposide and cisplatin) chemotherapy procedure has been treated. Mass was found in the retroperitoneum 5 years later. Open transperitoneal retroperitoneal lymph node dissection surgery was performed at epicentral clinic. AFP has come to normal values after the operation. AFP was detected 50 IU/ mL 2 years later. Patients with recurrent retroperitoneal mass was referred to our clinic. In our clinic the patient was underwent laparoscopic retroperitoneal excision for the recurrent mass. Operation time were 90 minutes. Mass was localizated psoas muscle infero-lateral and sized 24 mm. Patient was hospitalized for 2 days. The drainage catheter was taken out postoperative second day. There was no complication.

Keywords:

Laparoscopy, retroperition, mass, recurrence,

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