Dokuz Eyl\u00fcl \u00dcniversitesi Hastanesi Genel Cerrahi Ana Bilim Dal\u0131 \u00d6\u011fretim \u00dcyesi Prof. Dr. Serdar Saydam, bilim d\u00fcnyas\u0131n\u0131n meme kanseri ameliyatlar\u0131nda hastal\u0131\u011f\u0131n koltuk alt\u0131na s\u0131\u00e7rad\u0131\u011f\u0131 olgularda bile, kola ait lenf kanallar\u0131n\u0131 koruyup, operasyon sonras\u0131 kolun \u015fi\u015fmesini en az\u0131ndan belirli oranda \u00f6nleyen yeni bir y\u00f6ntem geli\u015ftirdi\u011fini a\u00e7\u0131klad\u0131.<\/p>\n

Bilim d\u00fcnyas\u0131 meme kanseri ameliyatlar\u0131nda son nokta say\u0131labilecek bir \u00e7al\u0131\u015fmaya imza att\u0131. Bilimsel kongrelerde de sunulan \u00e7al\u0131\u015fma hakk\u0131nda bilgi veren Genel Cerrahi Uzman\u0131 Prof. Dr. Serdar Saydam, \u201cMeme kanseri ameliyatlar\u0131nda \u00f6nce sentinel lenf bezi biyopsisi yap\u0131yoruz. Sonu\u00e7ta metastaz (yay\u0131lma )yoksa koltuk alt\u0131ndaki di\u011fer lenf bezlerini alm\u0131yoruz. Ancak kanser bu b\u00f6lgeye yay\u0131lm\u0131\u015fsa koltuk alt\u0131ndaki lenf bezlerini al\u0131yoruz. Koltuk alt\u0131nda ger\u00e7ekle\u015ftirilen bu operasyonlar, koldan gelen lenf ak\u0131m\u0131n\u0131 bozabiliyordu. Bu durum da kolda ameliyat sonras\u0131 iyile\u015fmesi g\u00fc\u00e7 \u015fi\u015flik, \u00f6dem meydana getiriyordu. \u0130\u015fte yeni ameliyat y\u00f6ntemi; onkolojinin prensiplerden vazge\u00e7meden hem koltuk alt\u0131ndaki di\u011fer lenf bezlerini al\u0131rken, bir yandan da koldan gelen lenf yollar\u0131n\u0131 koruyarak hastan\u0131n kolunda operasyon sonras\u0131 \u00f6dem olu\u015fmas\u0131n\u0131 \u00f6nl\u00fcyor\u201d dedi.<\/p>\n

Ameliyat s\u0131ras\u0131nda, \u2018Koltuk Alt\u0131n\u0131n Tersten Haritaland\u0131r\u0131lmas\u0131\u2019 isimli bir teknik uyguland\u0131\u011f\u0131n\u0131 anlatan Dr. Saydam, \u201cBu teknik sayesinde koldan gelen ve memeden gelen lenf yollar\u0131n\u0131 ay\u0131r\u0131yoruz. Daha sonra koltuk alt\u0131ndaki lenf bezlerini \u00e7\u0131kart\u0131yoruz. B\u00f6ylece koldan giden lenf yollar\u0131 korunarak hastan\u0131n kolunun \u015fi\u015fmemesi sa\u011flan\u0131yor. Bu yeni y\u00f6ntemde, meme kanserinde t\u00fcm\u00f6r\u00fcn s\u0131\u00e7rad\u0131\u011f\u0131 lenf bezleri al\u0131n\u0131rken, kol \u015fi\u015fme riski de en aza d\u00fc\u015f\u00fcr\u00fcl\u00fcyor\u201d diye konu\u015ftu.<\/p>\n

KOLDA \u0130K\u0130 SANT\u0130METREYE KADAR \u015e\u0130\u015eL\u0130K OLU\u015eAB\u0130L\u0130YOR<\/p>\n

Bilim d\u00fcnyas\u0131n\u0131n yeni cerrahi y\u00f6ntem \u00fczerinde uzun zamand\u0131r \u00e7al\u0131\u015ft\u0131\u011f\u0131n\u0131 ifade eden Dr. Saydam, DE\u00dc T\u0131p Fak\u00fcltesi Hastanesi\u2019ndeki kliniklerinde de yeni y\u00f6ntemi uygulayacaklar\u0131n\u0131 belirtti. Yeni ameliyat y\u00f6ntemi sayesinde hem koldan giden lenf yollar\u0131n\u0131n korundu\u011funu hem de koltuk alt\u0131nda kanserin s\u0131\u00e7rad\u0131\u011f\u0131 lenf bezlerinin \u00e7\u0131kart\u0131ld\u0131\u011f\u0131n\u0131 kaydeden Dr. Saydam, \u015funlar\u0131 s\u00f6yledi: \u201cBu yeni cerrahi y\u00f6ntem sayesinde meme kanseri lenf bezi ameliyat\u0131 olan kad\u0131nlarda lenf \u00f6demi olu\u015fma olas\u0131l\u0131\u011f\u0131n\u0131 y\u00fczde 2\u2019lere d\u00fc\u015f\u00fcr\u00fcyor. Kolumuza atardamarlarla gelen kan, toplardamarlar ve lenfler yoluyla toplan\u0131yor. Lenfler al\u0131nd\u0131ysa koldaki kanda durgunluk ve bu ba\u011fl\u0131 olarak da staz (durgunluk) olu\u015fuyor. Ve kolda iki santimetreye kadar bir \u015fi\u015fkinlik olu\u015fuyor. Lenf \u00f6demi olu\u015fan hastalar\u0131n tedavisi de zor oluyor.\u201d

\n\t\t\t

\n\t\t\t\tMeme Kanseri Cerrahisinde Son Nokta<\/a>\n\t\t\t<\/div><\/figure>\n\t\t<\/div>\n<\/p>\n","protected":false},"excerpt":{"rendered":"

DOKUZ EYL\u00dcL \u00dcN\u0130VERS\u0130TES\u0130 HASTANES\u0130 GENEL CERRAH\u0130 ANA B\u0130L\u0130M DALI \u00d6\u011eRET\u0130M \u00dcYES\u0130 PROF. DR. SERDAR SAYDAM, B\u0130L\u0130M D\u00dcNYASININ MEME KANSER\u0130 AMEL\u0130YATLARINDA HASTALI\u011eIN KOLTUK ALTINA SI\u00c7RADI\u011eI OLGULARDA B\u0130LE, KOLA A\u0130T LENF KANALLARINI KORUYUP, OPERASYON SONRASI KOLUN \u015e\u0130\u015eMES\u0130N\u0130 EN AZINDAN BEL\u0130RL\u0130 ORANDA \u00d6NLEYEN YEN\u0130 B\u0130R Y\u00d6NTEM GEL\u0130\u015eT\u0130RD\u0130\u011e\u0130N\u0130 A\u00c7IKLADI.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[14,20],"tags":[25247,16739,12751,12750,7870],"class_list":["post-190288","post","type-post","status-publish","format-standard","hentry","category-saglik","category-turkiye","tag-nokta","tag-cerrahisinde","tag-kanseri","tag-meme","tag-son"],"_links":{"self":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/190288","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=190288"}],"version-history":[{"count":0,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=\/wp\/v2\/posts\/190288\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=190288"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=190288"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.erzhaber.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=190288"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}