Özet:

INTRODUCTION: Patients scheduled for orthopedic oncological surgery often receive various treatments, such as chemotherapy or radiotherapy, before the operation. The treatments applied and related side effects, accompanying co-morbidities and the characteristics of the surgery to be performed affect the choice of anesthesia and require specificity. In this study, it was planned to retrospectively evaluate the patients who underwent tumor resection prosthesis with the diagnosis of primary or metastatic bone tumor in our hospital. METHODS: 72 patients between the ages of 6-84 who underwent tumor resection prosthesis operation with the diagnosis of primary or metastatic bone tumor and who are in American Society of Anesthesiologists (ASA) I-III group were included in the present study. Demographic characteristics of patients, accompanying diseases, malignity diagnoses, ASA scores, surgical intervention carried out and anesthesia method, duration of anesthesia and operation, pre and postoperative hemoglobin values, amount of intraoperative bleeding, intraoperative fluid management and need for blood transfusion, need for and duration of postoperative intensive care and/or mechanic ventilation were recorded RESULTS: The most frequently diagnosed primary bone tumor was osteosarcoma, and the most common operation was wide tumor resection and femoral proximal tumor resection prosthesis. Parameters such as duration of anesthesia, amount of bleeding, age, ASA, and comorbidity were shown to be associated with the need for postoperative mechanical ventilation or intensive care. In the postoperative analgesia methods applied to the patients, it was seen that the most frequently preferred method was intravenous analgesia. DISCUSSION AND CONCLUSION: In orthopedic oncologic surgeries, anesthesia management should encompass evaluating the patient with a holistic approach starting from the preoperative period, and considering the need for postoperative analgesia and/or for intensive care in addition to intraoperative anesthesia. Communication between members of anesthesia and surgery teams is important for providing optimal surgical care.

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