Abstract:

Introduction and Target: Evaluation of changes in postoperative short-mediate renal functions of patients with open radical cystectomy due to the tumor of the mesh. Method and Requirements: In the study, a total of 76 patients applied open-radical cystectomy due to mesh tumor between December 2010-October 2019, demographic, operative and postoperative data and postoperative 1st day, 1, 3, 6, 9th and 12th months of renal function values were assessed by changes according to the pre-treatment. Patients with a single kidney, with a history of dialytic due to preoperative chronic renal insufficiency and with less than 1 year of follow-up were not included in the study. A total of 51 patients were involved in the study. The average age of patients was 64.31±8.37 years. 86 percent of patients. When 3 were applied conduite, 13.7 percent of sinus orthodotic mesh was applied. Postoperative renal functions showed a decrease in 51 percent of patients, while 49 percent observed an increase or no change. Preoperative eGFR 62.70± 23.22 mL/min/1.73 m2 while postoperative eGFR values were recorded in the form of 1-3 days, 1st month, 3rd month, 6th month, 9th month, 12th month, respectively 58.55±28.08, 64.67±26.52, 64.35±23.23, 61.18±24.80, 59.93±21.99 and 58.09±22.33 mL/min/1.73 m2. Periodic eGFR measurements carried out within 1 year after the processing saw a gradual change in the peroperative early period while a relatively rapid eGFR decline was observed. INVASIVE and RESULTATIVE: In muscle invasive and high-risk urinary tumors after open radical cystectomy in the early period, sudden disturbances in renal functions may be observed, while later closely monitored it appears to approach normal values. This procedure is highly morbid and mortality and we recommend close monitoring and monitoring in terms of the preservation of kidney functions, especially in the early postoperative period.

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