Urinary Reconstructions in Patıents with Locally Advanced Rectosigmoid Cancers, a Single Center Experience

Abstract

Urinary system resections due to rectosigmoid cancers are an issue where the number of experienced surgeons is low because they are not performed frequently.The selection and application of the type of reconstruction after resection are technical procedures that should be performed by experienced cancer surgeons and urologists. Aims: It was aimed to present the urine reconstruction methods and results applied in local advanced rectal and sigmoid colon cancer surgeries performed by the same team for many years. Study Design: Patients who were operated for rectosigmoid region tumor and had urinary resection-reconstruction between 2016-2020 were reviewed. The demographic data of the patients, clinicopathological notes, reconstruction types, postoperative urinary leakage and fistula rates were examined and noted. Methodology: Retrospective patient document analysis using electronic hospital file system and clinical notes. Results: 37 patients were included in the study within the criteria. 17 (46%) of the patients were male and 20 (54%) were female. The mean age of the patients was 58.6 ± 16 years. The most common reconstruction procedures were Ureteroneocystostomy and bladder reconstruction. The least used method was ureteroureterostomy uteretostomy. It was observed that urine leakage / fistula developed in 11 (29.7%) of 37 patients included in the study. Conclusion: Although the rate of urological complications is also affected by the chosen technique, it may also be affected by factors such as the presence of preoperative hydronephrosis, multiorgan resections, and age.