İnvazif mesane tümörü nedeni ile radikal sistoprostatektomi sonrası üriner diversiyon uygulanan hastalarda postoperatif dönemde meydana gelen metabolik, fizyolojik ve histopatolojik değişiklikler
Postoperative metabolic, physiologic and histopathologic changes in the patients which undergone urinary diversion following radical cystoprostatectomy
- Tez No: 33082
- Danışmanlar: PROF. DR. YAVUZ ÖNOL
- Tez Türü: Tıpta Uzmanlık
- Konular: Üroloji, Urology
- Anahtar Kelimeler: Belirtilmemiş.
- Yıl: 1995
- Dil: Türkçe
- Üniversite: GATA
- Enstitü: Haydarpaşa Eğitim Hastanesi
- Ana Bilim Dalı: Üroloji Ana Bilim Dalı
- Bilim Dalı: Belirtilmemiş.
- Sayfa Sayısı: 83
Özet
SUMMARY Postoperative metabolic, physiologic and histopathologic changes in the patients which undergone urinary diversion following radical cystoprostatectomy due to invasive bladder cancer. Between 1986 to 1995, 49 male patients with invasive bladder tumor were treated by urinary diversions following radical pelvic surgery. Of the 49 urinary diversions, 29 were ileal conduit, 16 were orthotopic neobladder and 4 were ureterosigmoidostomy. The patients with ureterosigmoidostomy were excluded because 3 patients did not come to routine follow-ups and 1 patient was undiverted to orthotopic neobladder. Technical properties of the operations, peroperative and early postoperative complications were recorded. The postoperative evaluations included serum electrolytes and blood gas analyzes, histopathologic changes in the mucosa of ileal conduit and neobladder, potency and continence status, urodynamic studies, function of upper urinary tract and tumor progression. Early complication rates were 12,4% and 13,8% in the patients with orthotopic neobladder and ileal conduit, respectively. Late complication rates were 6,2% and 6,8% in the patients with orthotopic neobladder and ileal conduit, respectively. Although, serum chloride levels increased in 13 patients (86%) with orthotopic neobladder, their blood gas analyzes were normal. All patients with ileal conduit had increased serum chloride levels but hyperchloremic metabolic acidosis developed in only 1 patient. The increase of the serum chloride levels was statistically significant in both groups (p
Özet (Çeviri)
SUMMARY Postoperative metabolic, physiologic and histopathologic changes in the patients which undergone urinary diversion following radical cystoprostatectomy due to invasive bladder cancer. Between 1986 to 1995, 49 male patients with invasive bladder tumor were treated by urinary diversions following radical pelvic surgery. Of the 49 urinary diversions, 29 were ileal conduit, 16 were orthotopic neobladder and 4 were ureterosigmoidostomy. The patients with ureterosigmoidostomy were excluded because 3 patients did not come to routine follow-ups and 1 patient was undiverted to orthotopic neobladder. Technical properties of the operations, peroperative and early postoperative complications were recorded. The postoperative evaluations included serum electrolytes and blood gas analyzes, histopathologic changes in the mucosa of ileal conduit and neobladder, potency and continence status, urodynamic studies, function of upper urinary tract and tumor progression. Early complication rates were 12,4% and 13,8% in the patients with orthotopic neobladder and ileal conduit, respectively. Late complication rates were 6,2% and 6,8% in the patients with orthotopic neobladder and ileal conduit, respectively. Although, serum chloride levels increased in 13 patients (86%) with orthotopic neobladder, their blood gas analyzes were normal. All patients with ileal conduit had increased serum chloride levels but hyperchloremic metabolic acidosis developed in only 1 patient. The increase of the serum chloride levels was statistically significant in both groups (p
Benzer Tezler
- Mesane kanserli hastalarda myc ve MYCT1 genlerinin araştırılması
Investigation of MYC and MCCT1 genes in the patients with bladder cancer
SOYDAN DOĞAN
- İnvaziv mesane tümörlerinin evrelendirilmesinde, tedavinin etkinliğini ve süresini belirlemede pelvik manyetik rezonans görüntülemenin değeri
The Value of magnetic resonance imaging in the staging of invasive bladder tumors and in the evaluation of the efficacy and duration of treatment
ALİ ÜNSAL
- İnvaziv mesane tümörü nedeniyle radikal sistektomi ve üriner diversiyon ameliyatı geçiren hastaların beden imajı ve benlik saygısının değerlendirilmesi
Evaluation of body image and self-esteem of patients who underwent radical cystectomy and urinary diversion surgery due to invasive bladder tumor
HANDE ZÜMRELER
Yüksek Lisans
Türkçe
2020
Hemşirelikİstanbul Okan ÜniversitesiHemşirelik Ana Bilim Dalı
DR. ÖĞR. ÜYESİ İLKNUR ÇALIŞKAN
- İnvaziv mesane tümörü nedeniyle radikal sistektomi yapılan hastalarda prognoza etkili faktörlerin belirlenmesi
Başlık çevirisi yok
NURULLAH KARAPAZAR
Tıpta Uzmanlık
Türkçe
2023
ÜrolojiEskişehir Osmangazi ÜniversitesiÜroloji Ana Bilim Dalı
DR. ÖĞR. ÜYESİ ATA ÖZEN
- İnvaziv mesane kanseri nedeniyle radikal sistektomi yapılan hastalarda neoadjuvan kemoterapinin sağkalım ve patolojik parametreler üzerindeki etkileri
Eff ects of neoadjuvant chemotherapy on pathologicalparameters and survival in patients undergoing radicalcystectomy for muscle-invasive bladder cancer
ALPER ÇAĞLAYAN
Tıpta Uzmanlık
Türkçe
2011
ÜrolojiSağlık Bilimleri ÜniversitesiÜroloji Ana Bilim Dalı
PROF. DR. MEVLANA DERYA BALBAY