Özet:

Introduction: Intraoperative radiotherapy IORT, one of the multi-modal treatment options for local advanced and nickel rectum cancer, can be preferred to provide local control. In this study we aimed to present our experience on the patients we apply radical surgery and intraoperative radiotherapy.Method: Acıbadem Mehmet Ali Aydinlar University School of Medicine, Maslak Hospital between November 2012 and December 2016 evaluated the clinical characteristics and post-operative tracking of the patients performed by radical surgery and IORT due to the cancer of the rectum. All patients had adenocarcinoma. The patient’s average age was 54.5 and the body mass index was 24.3 19.6-32.5 kg/m2. All of the first surgeries for rectum cancer were sfinkter protective resection. Due to the tumor, 4 patients were subjected to lower anterior resection, 2 patients were subjected to abdominoperineal resection, 2 patients were subjected to mass removal from the pelvis. 5 patients received R0, 2 patients received R1 and 1 patient received R2 resection. During the early follow-up of the surgery, two patients developed a wound infection. The duration of stay in the hospital is 8 days. In an average of 35.5 months of follow-up, 4 patients are followed without disease. In two patients, the pelvic nuts developed. The result: Intraoperative radiotherapy in rectum cancer is a method that allows us to apply high doses of radiotherapy by reducing the risk of toxicity and thereby increasing the effectiveness of the surgeon on local control.

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