Kar\u0131n zar\u0131 kanserlerinin tedavisinde uygulanan en ileri cerrahi y\u00f6ntemlerden biri olan “Sugarbaker Prosed\u00fcr\u00fc”, \u0130zmir\u2019de Ac\u0131badem Kent Hastanesi ev sahipli\u011finde d\u00fczenlenen uluslararas\u0131 e\u011fitim program\u0131nda T\u00fcrk doktorlara anlat\u0131ld\u0131.
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Kolon, rektum ve jinekolojik kanserlere ba\u011fl\u0131 kar\u0131n zar\u0131 yay\u0131l\u0131m\u0131 olan hastalara uygulanan bu ameliyatlar, canl\u0131 yay\u0131nla toplant\u0131 salonuna aktar\u0131ld\u0131. Kat\u0131l\u0131mc\u0131 doktorlar, ameliyatlar\u0131 anbean takip ederken, hangi hastaya hangi y\u00f6ntemin uyguland\u0131\u011f\u0131na dair ayr\u0131nt\u0131l\u0131 bilgi alma ve tart\u0131\u015fma f\u0131rsat\u0131 buldu. \u0130kinci g\u00fcn ise video destekli teorik e\u011fitimler ve vaka tart\u0131\u015fmalar\u0131 ile hekimlerin bilgileri peki\u015ftirildi. \u0130ki g\u00fcn s\u00fcren “Peritoneal Y\u00fczey T\u00fcm\u00f6rlerinde Canl\u0131 Cerrahi & H\u0130PEK Kursu bu alan\u0131n\u0131n \u00f6nc\u00fc bilim insanlar\u0131 ile kolon\/ rektum- jinekolojik cerrahlar ile onkologlar\u0131 bulu\u015fturdu. Kursa kar\u0131n zar\u0131 kanseri hastalar\u0131nda sa\u011fkal\u0131m oranlar\u0131n\u0131 art\u0131rma ve n\u00fcksleri azaltma konusunda \u00e7al\u0131\u015fmalar yapan, buldu\u011fu y\u00f6ntem 5 k\u0131tada uygulanan Amerikal\u0131 bilim adam\u0131 Prof. Dr. Paul H.Sugarbaker ile peritoneal y\u00fczey malignitelerinde uluslararas\u0131 deneyime sahip uzman Avustralya\u2019dan Assoc. Prof. CherryKoh T\u00fcrk hekimlere tecr\u00fcbelerini aktard\u0131. \u0130ki g\u00fcn s\u00fcren kursun ilk g\u00fcn\u00fcnde 5 hasta ameliyat edildi. T\u00fcrk Kolon ve Rektum Cerrahisi Derne\u011fi ile PSOGI (Peritoneal Surface Oncology Group International) i\u015f birli\u011finde d\u00fczenlenen kursa, kendi ad\u0131yla bilinen y\u00f6ntemi geli\u015ftiren d\u00fcnyaca \u00fcnl\u00fc Amerikal\u0131 cerrah Prof. Dr. Paul H. Sugarbaker ve Avustralya\u2019dan Prof. Cherry Koh da kat\u0131ld\u0131.<\/p>\n
Donan\u0131m ve dikkat cerrahi ba\u015far\u0131y\u0131 y\u00fckseltiyor
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Kursun a\u00e7\u0131l\u0131\u015f\u0131nda konu\u015fan Prof. Dr. Sugarbaker, erken tan\u0131n\u0131n ve do\u011fru cerrahinin \u00f6nemine dikkat \u00e7ekti. Sugarbaker, “Baz\u0131 kanser t\u00fcrleri, g\u00f6zle g\u00f6r\u00fclmeyecek kadar k\u00fc\u00e7\u00fck yay\u0131l\u0131mlar g\u00f6sterebilir. Cerrah\u0131n fark edemedi\u011fi bu hastal\u0131k odaklar\u0131, ileride ciddi sa\u011fl\u0131k sorunlar\u0131na yol a\u00e7abilir. Bu nedenle cerrahlar, hem teknik olarak donan\u0131ml\u0131 hem de dikkatli olduklar\u0131nda tedavi ba\u015far\u0131lar\u0131 y\u00fckselir” diye konu\u015ftu.
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Program sonunda da T\u00fcrk meslekta\u015flar\u0131n\u0131n ilgisini memnuniyetle kar\u015f\u0131lad\u0131\u011f\u0131n\u0131 belirten Prof. Sugarbaker, “Burada \u00f6\u011frendikleriniz, gelecekte bir\u00e7ok hastan\u0131n hayat\u0131nda fark olu\u015fruracak” dedi.<\/p>\n
Hasta se\u00e7imi kadar do\u011fru teknik de hayati \u00f6nem ta\u015f\u0131yor
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Kursun e\u015f ba\u015fkanl\u0131\u011f\u0131n\u0131 y\u00fcr\u00fcten Ac\u0131badem Kent Hastanesi Genel Cerrahi Uzman\u0131, T\u00fcrk Kolon ve Rektum Cerrahisi Derne\u011fi Y\u00f6netim Kurulu \u00dcyesi Prof. Dr. Aras Emre Canda ise \u015funlar\u0131 s\u00f6yledi:
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“Kar\u0131n zar\u0131 (periton), kar\u0131n bo\u015flu\u011funu ve i\u00e7 organlar\u0131 \u00f6rten zar yap\u0131s\u0131d\u0131r. Baz\u0131 ileri evre kanserlerde (\u00f6rne\u011fin kolon, rektum ya da yumurtal\u0131k kanseri), t\u00fcm\u00f6r h\u00fccreleri bu zar \u00fczerine yay\u0131labilir. Bu duruma \u2018kar\u0131n zar\u0131 metastaz\u0131\u2019 denir. Klasik y\u00f6ntemlerle tedavisi zor olan bu tabloya y\u00f6nelik \u00f6zel cerrahi yakla\u015f\u0131mlar geli\u015ftirildi. \u2018Sugarbaker Prosed\u00fcr\u00fc\u2019 olarak bilinen y\u00f6ntemde, \u00f6nce kar\u0131n zar\u0131ndaki t\u00fcm\u00f6rl\u00fc dokular temizleniyor (sitored\u00fcktif cerrahi), ard\u0131ndan kar\u0131n i\u00e7ine \u0131s\u0131t\u0131lm\u0131\u015f kemoterapi ilac\u0131 veriliyor (H\u0130PEK). Bu y\u00f6ntem, hastalar\u0131n ya\u015fam s\u00fcresini uzatma ve hastal\u0131\u011f\u0131n tekrar etme riskini azaltma a\u00e7\u0131s\u0131ndan b\u00fcy\u00fck \u00f6nem ta\u015f\u0131yor. D\u00fcnyan\u0131n bir\u00e7ok \u00fclkesinde 20 y\u0131l\u0131 a\u015fk\u0131n s\u00fcredir uygulanan bu tedavi, T\u00fcrkiye\u2019de de deneyimli merkezlerde yap\u0131labiliyor. Kar\u0131n zar\u0131 kanserleri i\u00e7in uygulanan bu \u00f6zel tedavinin ba\u015far\u0131s\u0131, hastalar\u0131n do\u011fru se\u00e7ilmesine ve cerrahlar\u0131n teknik bilgiye hakim olmas\u0131na ba\u011fl\u0131. Canl\u0131 cerrahiler ve video destekli e\u011fitimlerle meslekta\u015flar\u0131m\u0131z bu y\u00f6ntemleri do\u011frudan yerinde g\u00f6zlemledi ve tart\u0131\u015fma \u015fans\u0131 buldu. Bu e\u011fitim, ileri cerrahinin hasta ya\u015fam\u0131na nas\u0131l katk\u0131 sundu\u011funu g\u00f6steren \u00e7ok de\u011ferli bir deneyimdi.”
<\/p>\n","protected":false},"excerpt":{"rendered":"
Kar\u0131n zar\u0131 kanserlerinin tedavisinde uygulanan en ileri cerrahi y\u00f6ntemlerden biri olan “Sugarbaker Prosed\u00fcr\u00fc”, \u0130zmir\u2019de Ac\u0131badem Kent Hastanesi ev sahipli\u011finde d\u00fczenlenen uluslararas\u0131 e\u011fitim program\u0131nda T\u00fcrk doktorlara anlat\u0131ld\u0131. Kolon, rektum ve jinekolojik kanserlere ba\u011fl\u0131 kar\u0131n zar\u0131 yay\u0131l\u0131m\u0131 olan hastalara uygulanan bu ameliyatlar, canl\u0131 yay\u0131nla toplant\u0131 salonuna aktar\u0131ld\u0131. Kat\u0131l\u0131mc\u0131 doktorlar, ameliyatlar\u0131 anbean takip ederken, hangi hastaya hangi y\u00f6ntemin…<\/p>\n","protected":false},"author":1,"featured_media":43674,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_crdt_document":"","footnotes":""},"categories":[2],"tags":[],"class_list":["post-43673","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saglik"],"_links":{"self":[{"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts\/43673","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=43673"}],"version-history":[{"count":1,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts\/43673\/revisions"}],"predecessor-version":[{"id":43675,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/posts\/43673\/revisions\/43675"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=\/wp\/v2\/media\/43674"}],"wp:attachment":[{"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=43673"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=43673"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.egemtv.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=43673"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}