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Melek H, Özkan B, Volkan Kara H, Evrim Sevinç T, Kaba E, Turna A, Toker A, Gebitekin C. Minimally invasive approaches for en-bloc anatomical lung and chest wall resection. Turk Gogus Kalp Damar Cerrahisi Derg 2023; 31:374-380. [PMID: 37664764 PMCID: PMC10472457 DOI: 10.5606/tgkdc.dergisi.2023.23850] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 10/08/2022] [Accepted: 11/17/2022] [Indexed: 09/05/2023]
Abstract
Background The aim of this study was to evaluate the feasibility of en-bloc anatomical lung and chest wall resection via minimally invasive surgery. Methods Between January 2013 and December 2021, a total of 22 patients (18 males, 4 females; mean age: 63±6.9 years; range, 48 to 78 years) who underwent anatomical lung and chest wall resection using minimally invasive surgery for non-small cell lung cancer were retrospectively analyzed. Demographic, clinical, intra- and postoperative data of the patients, recurrence, metastasis, mortality, and overall survival rates were recorded. Results The surgical technique was robot-assisted thoracic surgery in two, multiport video-assisted thoracoscopic surgery in 18, and uniport video-assisted thoracoscopic surgery in two patients. Upper lobectomy was performed in 17 (77.3%) patients, lower lobectomy in three (13.6%) patients, and upper lobe segmentectomy in two (9.1%) patients. Five different techniques were used for chest wall resection. Nine (40.9%) patients had one, eight (36.4%) patients had two, four (18.2%) patients had three, and one (4.5%) patient had four rib resections. Chest wall reconstruction was necessary for only one of the patients. The mean operation time was 114±36.8 min. Complete resection was achieved in all patients. Complications were observed in seven (31.8%) patients without mortality. The mean follow-up was 24.4±17.9 months. The five-year overall survival rate was 55.3%. Conclusion Segmentectomy/lobectomy and chest wall resection with minimally invasive surgery are safe and feasible in patients with nonsmall cell lung cancer. In addition, the localization of the area where chest wall resection would be performed should be considered the most crucial criterion in selecting the ideal technique.
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Affiliation(s)
- Hüseyin Melek
- Department of Thoracic Surgery, Bursa Uludağ University Faculty of Medicine, Bursa, Türkiye
| | - Berker Özkan
- Department of Thoracic Surgery, Istanbul University Istanbul Faculty of Medicine, Istanbul, Türkiye
| | - Hasan Volkan Kara
- Department of Thoracic Surgery, Istanbul University-Cerrahpaşa Faculty of Medicine, Istanbul, Türkiye
| | - Tolga Evrim Sevinç
- Department of Thoracic Surgery, Bursa Uludağ University Faculty of Medicine, Bursa, Türkiye
| | - Erkan Kaba
- Department of Thoracic Surgery, Istanbul University Istanbul Faculty of Medicine, Istanbul, Türkiye
| | - Akif Turna
- Department of Thoracic Surgery, Istanbul University-Cerrahpaşa Faculty of Medicine, Istanbul, Türkiye
| | - Alper Toker
- Department of Thoracic Surgery, Istanbul University Istanbul Faculty of Medicine, Istanbul, Türkiye
| | - Cengiz Gebitekin
- Department of Thoracic Surgery, Bursa Uludağ University Faculty of Medicine, Bursa, Türkiye
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Kılıç B, Saglam OF, Guler G, Ersen E, Kara HV, Demirkaya A, Turna A, Kaynak K. Post bar removal results of pectus deformity patients who underwent minimally invasive correction. Wideochir Inne Tech Maloinwazyjne 2023; 18:364-371. [PMID: 37680725 PMCID: PMC10481444 DOI: 10.5114/wiitm.2022.123797] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2022] [Accepted: 12/05/2022] [Indexed: 09/09/2023] Open
Abstract
Introduction The most common chest wall deformities are pectus excavatum and pectus carinatum. Surgical repair of these deformities via minimally invasive technique using pectus bars is commonly preferred by numerous thoracic surgeons. Despite this common choice for treatment, the duration of the bar stay, the bar removal process, the possible complications and ways to prevent them have been debated over the years and still there is no single decision. Aim To determine the decision making, surgical outcomes and negative factors in the bar removal process. Material and methods There were 1032 patients underwent bar removal between 2006-2020 and their data was recorded prospectively. We analyzed patients' demographics, family history, Haller index, bar count, body mass index, stabilizer and wire usage, length of hospital stay, time until bar removal, incision side and complications retrospectively. Results There was no significant correlation between BMI and surgery time (p = 0.748). There was no statistically significant correlation between the age groups and the number of pectus bars removed. The other factors showed no significant difference. The surgery time was found to be significantly longer in those with callus tissue (p = 0.002). Conclusions These findings suggest that pectus bars can be left in place for a shorter time than the standard 3-year interval without any additional recurrence risk and without compromising quality of life. As a result, patients with persistent pain after pectus repair should be well evaluated for the possibility of life-threatening complications during bar removal.
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Affiliation(s)
- Burcu Kılıç
- Department of Thoracic Surgery, Faculty of Medicine, Istanbul University Cerrahpasa, Cerrahpasa, Turkey
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Turna A, Özçıbık Işık G, Ekinci Fidan M, Sarbay İ, Kılıç B, Kara HV, Erşen E, Kaynak MK. Can postoperative complications be reduced by the application of ERAS protocols in operated non-small cell lung cancer patients? Turk Gogus Kalp Damar Cerrahisi Derg 2023; 31:256-268. [PMID: 37484631 PMCID: PMC10357847 DOI: 10.5606/tgkdc.dergisi.2023.23514] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/01/2022] [Accepted: 05/11/2022] [Indexed: 07/25/2023]
Abstract
Background In our study, we aimed to evaluate the length of hospital stay and complication rate of patients before and after application o f t he E nhanced R ecovery A fter S urgery ( ERAS) protocols. Methods Between January 2001 and January 2021, a total of 845 patients (687 males, 158 females; mean age: 55±11 years; range, 19 to 89 years) who were operated with the diagnosis of non-small cell lung carcinoma were retrospectively analyzed. The patients were divided into three groups as follows: patients between 2001 and 2010 were evaluated as pre-ERAS (Group 1, n=285), patients between 2011 and 2015 as preparation for ERAS period (Group 2, n=269), and patients who had resection between 2016 and 2021 as the ERAS period (Group 3, n=291). Results All three groups were similar in terms of clinical, surgical and demographic characteristics. Smoking history was statistically significantly less in Group 3 (p=0.005). The forced expiratory volume in 1 sec/forced vital capacity and albumin levels were statistically significantly higher in Group 3 (p<0.001 and p=0.019, respectively). The leukocyte count and tumor maximum standardized uptake value were statistically significantly higher in Group 1 (p=0.018 and p=0.014, respectively). Postoperative hospitalization day, complication rate, and intensive care hospitalization rates were statistically significantly lower in Group 3 (p<0.001). The rate of additional disease was statistically significantly higher in Group 1 (p=0.030). Albumin level (<2.8 g/dL), lymphocyte/monocyte ratio (<1.35), and hemoglobin level (<8.3 g/dL) were found to be significant predictors of complication development. Conclusion With the application of ERAS protocols, length of postoperative hospital stay, complication rate, and the need for intensive care hospitalization decrease. Preoperative hemoglobin level, albumin level, and lymphocyte/monocyte ratio are the predictors of complication development. Increasing hemoglobin and albumin levels before operation may reduce postoperative complications.
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Affiliation(s)
- Akif Turna
- Department of Thoracic Surgery, Istanbul University-Cerrahpaşa Cerrahpaşa Medical Faculty, Istanbul, Türkiye
| | - Gizem Özçıbık Işık
- Department of Thoracic Surgery, Istanbul University-Cerrahpaşa Cerrahpaşa Medical Faculty, Istanbul, Türkiye
| | - Merve Ekinci Fidan
- Department of Thoracic Surgery, Istanbul University-Cerrahpaşa Cerrahpaşa Medical Faculty, Istanbul, Türkiye
| | - İsmail Sarbay
- Department of Thoracic Surgery, Istanbul University-Cerrahpaşa Cerrahpaşa Medical Faculty, Istanbul, Türkiye
| | - Burcu Kılıç
- Department of Thoracic Surgery, Istanbul University-Cerrahpaşa Cerrahpaşa Medical Faculty, Istanbul, Türkiye
| | - Hasan Volkan Kara
- Department of Thoracic Surgery, Istanbul University-Cerrahpaşa Cerrahpaşa Medical Faculty, Istanbul, Türkiye
| | - Ezel Erşen
- Department of Thoracic Surgery, Istanbul University-Cerrahpaşa Cerrahpaşa Medical Faculty, Istanbul, Türkiye
| | - Mehmet Kamil Kaynak
- Department of Thoracic Surgery, Istanbul University-Cerrahpaşa Cerrahpaşa Medical Faculty, Istanbul, Türkiye
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Kara HV, Sarbay İ, Batur Ş, Turna A. An intrapericardial thymoma resected by uniportal video-assisted thoracoscopic surgery. Turk Gogus Kalp Damar Cerrahisi Derg 2022; 30:458-461. [PMID: 36303684 PMCID: PMC9580282 DOI: 10.5606/tgkdc.dergisi.2022.20700] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/31/2020] [Accepted: 11/02/2020] [Indexed: 06/16/2023]
Abstract
Thymomas are usually located in the normal location of the thymus in the anterior mediastinum. It is very rare for thymomas to arise primarily intrapericardially. A 76-year-old male patient with a known human immunodeficiency virus positivity and has been under close follow-up for five years was admitted to our clinic. Thoracic computed tomography revealed an intrapericardial mass. Uniportal video-assisted thoracoscopic surgery was performed for the resection of the intrapericardial mass. Pathological examination revealed a type AB thymoma with a 3x3x2.5-cm dimensions (Stage 1). He underwent adjuvant irradiation. He has been doing well without any recurrence for 41 months. In conclusion, resection of intrapericardial masses is feasible and safe. This is the first case with a purely intrapericardial thymoma that was resected via uniportal videoassisted thoracoscopic surgery in the literature.
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Affiliation(s)
- Hasan Volkan Kara
- Department of Thoracic Surgery, Istanbul University-Cerrahpaşa Cerrahpaşa Faculty of Medicine, Istanbul, Türkiye
| | - İsmail Sarbay
- Department of Thoracic Surgery, Istanbul University-Cerrahpaşa Cerrahpaşa Faculty of Medicine, Istanbul, Türkiye
| | - Şebnem Batur
- Department of Pathology, Istanbul University-Cerrahpaşa Cerrahpaşa Faculty of Medicine, Istanbul, Türkiye
| | - Akif Turna
- Department of Thoracic Surgery, Istanbul University-Cerrahpaşa Cerrahpaşa Faculty of Medicine, Istanbul, Türkiye
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Koç Erbaşoğlu Ö, Horozoğlu C, Ercan Ş, Kara HV, Turna A, Farooqi AA, Yaylım İ. Effect of trail C1595T variant and gene expression on the pathogenesis of non-small cell lung cancer. Libyan J Med 2019; 14:1535746. [PMID: 30481147 PMCID: PMC6263097 DOI: 10.1080/19932820.2018.1535746] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2017] [Accepted: 09/28/2018] [Indexed: 12/20/2022] Open
Abstract
It is known that disorders in apoptosis function play an important role in the pathogenesis of many types of cancer, including lung cancer. Tumor necrosis factor related apoptosis inducing ligand (TRAIL), a type II transmembrane protein, is a death ligand capable of inducing apoptosis by activating distinctive death receptor. Our purpose in this study is to investigate the gene polymorphisms in TRAIL molecular pathway and TRAIL gene expression levels in non-small cell lung cancer (NSCLC) patients in terms of pathogenesis and prognosis of the disease. In this study, TRAIL C1595T polymorphism was genotyped using polymerase chain reaction-restriction fragment length polymorphism analysis in 158 patients with NSCLC and 98 healthy individuals. Surgically resected tissues were examined and classified histopathologically. In addition, TRAIL gene expression levels in tumor tissue and tumor surrounding tissue samples of 48 patients with NSCLC were determined using real-time polymerase chain reaction. TRAIL gene expression levels of NSCLC patients were detected significantly 28.8 fold decrease in the tumor tissue group compared to the control group (p=0.026). When patients were compared to tumor stage, expression of TRAIL gene in advanced tumor stage was found to be significantly 7.86 fold higher than early tumor stage [p=0.028]. No significant relationship was found between NSCLC predisposition and prognostic parameters of NSCLC with TRAIL genotypes, but the frequency of TRAIL gene 1595 CT genotype was observed to be lower in the patients compared to the other genotypes, and the difference was found to be very close to statistical significance (p=0.07). It can be suggested that TRAIL may play an important role in the development of NSCLC and may be an effective prognostic factor in tumor progression.: It is known that disorders in apoptosis function play an important role in the pathogenesis of many types of cancer, including lung cancer. Tumor necrosis factor-related apoptosis-inducing ligand (TRAIL), a type II transmembrane protein, is a death ligand capable of inducing apoptosis by activating distinctive death receptor. Our purpose in this study is to investigate the gene polymorphisms in TRAIL molecular pathway and TRAIL gene expression levels in non-small cell lung cancer (NSCLC) patients in terms of pathogenesis and prognosis of the disease.
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Affiliation(s)
- Öncü Koç Erbaşoğlu
- Department of Molecular Medicine, Institute for Aziz Sancar Experimental Medicine Research, İstanbul University, İstanbul, Turkey
| | - Cem Horozoğlu
- Department of Medical Services and Techniques, Vocational School of Health Services, İstanbul Gelişim University, İstanbul, Turkey
| | - Şeyda Ercan
- Department of Molecular Medicine, Institute for Aziz Sancar Experimental Medicine Research, İstanbul University, İstanbul, Turkey
| | - Hasan Volkan Kara
- Department of Thoracic Surgery, Cerrahpasa Medical School, İstanbul University, İstanbul, Turkey
| | - Akif Turna
- Department of Thoracic Surgery, Cerrahpasa Medical School, İstanbul University, İstanbul, Turkey
| | - Ammad Ahmad Farooqi
- Department of Molecular Oncology, Institute of Biomedical and Genetic Engineering (IBGE), KRL Hospital, Islamabad, Pakistan
| | - İlhan Yaylım
- Department of Molecular Medicine, Institute for Aziz Sancar Experimental Medicine Research, İstanbul University, İstanbul, Turkey
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Turna A, Kara HV, Kilic B, Ersen E, Kaynak K. P-152THE VALUE OF VIDEO-ASSISTED MEDIASTINOSCOPIC LYMPHADENECTOMY IN CLINICAL STAGE I NON-SMALL CELL LUNG CANCER. Interact Cardiovasc Thorac Surg 2017. [DOI: 10.1093/icvts/ivx280.152] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Turna A, Yaksi O, Kara HV, Ersen E, Turna ZH, Dincbas F, Erturan S, Aydin G, Kaynak K. P-265THE ROLE OF SALVAGE LUNG RESECTION AFTER DEFINITIVE CHEMORADIATION THERAPY FOR STAGE IIIA (N2) NON-SMALL CELL LUNG CANCER. Interact Cardiovasc Thorac Surg 2017. [DOI: 10.1093/icvts/ivx280.265] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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Abstract
A drop in the air-fluid level in the postpneumonectomy space on a chest radiogram is an early sign of bronchopleural fistula (BPF). Any suspicion of BPF points to the need for urgent evaluation and appropriate management. Very rarely may this drop occur without the existence of a fistula, but such a condition is defined as benign emptying of the postpneumonectomy space. We share our successful conservative management in a case of postpneumonectomy space emptying with a suspicion of BPF.
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Affiliation(s)
- Hasan Volkan Kara
- Department of Surgery, Duke University Medical Center, Durham, North Carolina, USA
| | - Mohan K Mallipeddi
- Department of Surgery, Duke University Medical Center, Durham, North Carolina, USA
| | - Jeffrey Javidfar
- Department of Surgery, Duke University Medical Center, Durham, North Carolina, USA
| | - Mark W Onaitis
- Department of Surgery, Duke University Medical Center, Durham, North Carolina, USA
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Turan N, Benekli M, Dane F, Unal OU, Kara HV, Koca D, Balvan O, Eren T, Tastekin D, Helvaci K, Berk V, Demirci U, Ozturk SC, Dogan E, Cetin B, Kucukoner M, Tonyali O, Tufan G, Oztop I, Gumus M, Coskun U, Uner A, Ozet A, Buyukberber S. Adjuvant systemic chemotherapy with or without bevacizumab in patients with resected pulmonary metastases from colorectal cancer. Thorac Cancer 2014; 5:398-404. [PMID: 26763794 DOI: 10.1111/1759-7714.12107] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2014] [Accepted: 03/03/2014] [Indexed: 01/29/2023] Open
Abstract
INTRODUCTION We investigated the impact of modern chemotherapy regimens and bevacizumab following pulmonary metastasectomy (PM) from metastatic colorectal cancer (CRC). METHODS A total of 122 consecutive patients who were curatively resected for pulmonary metastases of CRC in twelve oncology centers were retrospectively analysed between January 2000 and April 2012. RESULTS Of 122 patients, 14 did not receive any treatment following PM. The remaining 108 patients received fluoropyrimidine-based (n = 12), irinotecan-based (n = 56) and oxaliplatin-based (n = 40) chemotherapy combinations. Among these, 52 patients received bevacizumab (BEV) while 56 did not (NoBEV). Median recurrence-free survival (RFS) was 17 months and median overall survival (OS) has not been reached at a median follow-up of 25 months after PM. Three and five-year OS rates were 66% and 53%, respectively. RFS and OS were similar, irrespective of the chemotherapy regimen or BEV use. Positive pulmonary margin, KRAS mutation status, and previous liver metastasectomy were negative independent prognostic factors for RFS, while pathologically confirmed thoracic lymph node involvement was the only negative independent prognostic for OS in multivariate analysis. CONCLUSIONS No significant RFS or OS difference was observed in respect to chemotherapy regimens with or without BEV in patients with pulmonary metastases of CRC following curative resection.
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Affiliation(s)
- Nedim Turan
- Department of Medical Oncology, Malatya State Hospital Malatya, Turkey
| | - Mustafa Benekli
- Department of Medical Oncology, Gazi University Faculty of Medicine Ankara, Turkey
| | - Faysal Dane
- Department of Medical Oncology, Marmara University Faculty of Medicine Istanbul, Turkey
| | - Olcun Umit Unal
- Department of Medical Oncology, Dokuz Eylül University Faculty of Medicine Izmir, Turkey
| | - Hasan Volkan Kara
- Department of Thoracic Surgery, Marmara University Faculty of Medicine Istanbul, Turkey
| | - Dogan Koca
- Department of Medical Oncology, Regional Training and Research Hospital Van, Turkey
| | - Ozlem Balvan
- Department of Medical Oncology, Dr Lutfi Kirdar Kartal Education and Research Hospital Istanbul, Turkey
| | - Tulay Eren
- Department of Medical Oncology, Numune Education and Research Hospital Ankara, Turkey
| | - Didem Tastekin
- Department of Medical Oncology, Necmettin Erbakan University Faculty of Medicine Konya, Turkey
| | - Kaan Helvaci
- Department of Medical Oncology, Dr Abdurrahman Yurtaslan Education and Research Hospital Ankara, Turkey
| | - Veli Berk
- Department of Medical Oncology, Erciyes University Faculty of Medicine Kayseri, Turkey
| | - Umut Demirci
- Department of Medical Oncology, Dr Abdurrahman Yurtaslan Education and Research Hospital Ankara, Turkey
| | - Selcuk Cemil Ozturk
- Department of Medical Oncology, Adıyaman University Education and Research Hospital Adıyaman, Turkey
| | - Erkan Dogan
- Department of Medical Oncology, Regional Training and Research Hospital Van, Turkey
| | - Bulent Cetin
- Department of Medical Oncology, Regional Training and Research Hospital Van, Turkey
| | - Mehmet Kucukoner
- Department of Medical Oncology, Dicle University Faculty of Medicine Diyarbakir, Turkey
| | - Onder Tonyali
- Department of Medical Oncology, Antakya State Hospital Hatay, Turkey
| | - Gulnihal Tufan
- Department of Medical Oncology, Rize Education and Research Hospital Rize, Turkey
| | - Ilhan Oztop
- Department of Medical Oncology, Dokuz Eylül University Faculty of Medicine Izmir, Turkey
| | - Mahmut Gumus
- Department of Medical Oncology, Dr Lutfi Kirdar Kartal Education and Research Hospital Istanbul, Turkey
| | - Ugur Coskun
- Department of Medical Oncology, Gazi University Faculty of Medicine Ankara, Turkey
| | - Aytug Uner
- Department of Medical Oncology, Gazi University Faculty of Medicine Ankara, Turkey
| | - Ahmet Ozet
- Department of Medical Oncology, Gazi University Faculty of Medicine Ankara, Turkey
| | - Suleyman Buyukberber
- Department of Medical Oncology, Gazi University Faculty of Medicine Ankara, Turkey
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Issaka A, Kara HV, Eldem B, Batirel HF. Left-sided thoracoscopy in the prone position for surgery of distal esophageal benign pathologies. SAGE Open Med Case Rep 2014; 2:2050313X14521393. [PMID: 27489640 PMCID: PMC4857372 DOI: 10.1177/2050313x14521393] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Exposure of the distal esophagus can be achieved by a wide variety of surgical approaches. The standard procedure is mostly by laparoscopy. In cases where laparoscopy is relatively contraindicated, thoracoscopy is preferred. In this case, exposure of the distal esophagus from the aorta, heart and lung is technically challenging using thoracoscopy in the right lateral decubitus position. Surgery in the prone position for esophageal cancer has been successfully described in previous literature. We present our experience with left-sided thoracoscopy in the prone position in three patients with benign distal esophageal pathologies. This approach provided a much better exposure of the distal esophagus and enabled a successful surgery to be done in all patients with less manipulation of the lung.
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Affiliation(s)
- Adamu Issaka
- Marmara University Faculty of Medicine, Department of Thoracic Surgery, The Ministry of Health of Turkey - Marmara University Hospital, Istanbul, Turkey
| | - Hasan Volkan Kara
- Marmara University Faculty of Medicine, Department of Thoracic Surgery, The Ministry of Health of Turkey - Marmara University Hospital, Istanbul, Turkey
| | - Barkin Eldem
- Marmara University Faculty of Medicine, Department of Thoracic Surgery, The Ministry of Health of Turkey - Marmara University Hospital, Istanbul, Turkey
| | - Hasan F Batirel
- Marmara University Faculty of Medicine, Department of Thoracic Surgery, The Ministry of Health of Turkey - Marmara University Hospital, Istanbul, Turkey
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Olcmen A, Kara HV, Gunluoglu MZ, Buyukpinarbasili N, Dincer SI. Ancient schwannoma of the chest wall in the pediatric age group: first case in the literature. Pediatr Int 2010; 52:e65-6. [PMID: 20500463 DOI: 10.1111/j.1442-200x.2010.03049.x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Aysun Olcmen
- Department of Thoracic Surgery, Yedikule Teaching Hospital for Diseases of the Chest and Thoracic Surgery, Istanbul, Turkey
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Melek H, Günlüoğlu MZ, Demir A, Akin H, Medetoğlu B, Kara HV, Olçmen A, Dinçer SI. [The role of positron emission tomography (PET) in mediastinal staging of non-small cell lung cancer]. Tuberk Toraks 2008; 56:56-63. [PMID: 18330756] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/26/2023] Open
Abstract
Mediastinal lymph node metastasis (MLNM) is the most important prognostic factor and guide to the treatment in non-small cell lung cancer (NSCLC) patients with no distant metastasis. As a non invasive method, using of positron emission tomography (PET) to evaluate NSCLC is increasing. We aimed to compare results of PET and mediastinoscopy to reveal effectiveness of PET in the mediastinal staging of NSCLC patients. PET was performed to 100 operable NSCLC patients between 2004 and 2006. Later, standard cervical mediastinoscopy was performed to all of the patients. Twenty-six patients who detected MLNM at mediastinoscopy were referred to oncology clinic for neoadjuvant or definitive chemo-radiotherapy. Other 74 patients underwent thoracotomy and performed lung resection and mediastinal lymphatic dissection. Sensitivity and specificity rates for detecting mediastinal lymphatic metastasis of PET and mediastinoscopy were compared. There were 89 male and 11 female with mean age of 59 years. Sensitivity, specificity, positive predictive value, negative predictive value and accuracy rates were calculated as 74%, 76%, 59%, 86% and 76% respectively for PET and 83%, 100%, 100%, 93% and 95% respectively for mediastinoscopy. Accuracy rate of PET is not sufficient and mediastinoscopy is still the gold standard to evaluate mediastinal staging of NSCLC, at present.
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Affiliation(s)
- Hüseyin Melek
- Department of Chest Surgery, Yedikule Teaching Hospital for Chest Diseases and Chest Surgery, Istanbul, Turkey.
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Gunluoglu MZ, Kara HV, Demir A, Dincer SI. Results of Multimodal Treatment of Two Patients with Thoracic Primitive Neuroectodermal Tumor. Is Surgery Really Helpful for Survival? Thorac Cardiovasc Surg 2007; 55:460-1. [PMID: 17902071 DOI: 10.1055/s-2007-964947] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
Primitive neuroectodermal tumors (PNET) belong to the group of small round cell tumors and are rarely seen. They are rapidly progressive tumors, despite usually being treated by a multimodal therapy which includes surgery and chemoradiotherapy. We present two patients with PNET of the thorax treated in our clinic. The first patient had a huge tumor in the right hemithorax, which shifted the mediastinum to the contralateral hemithorax. Diagnosis was established by transthoracic fine-needle aspiration biopsy and the tumor was treated by surgical resection. Surgery resulted in a microscopically incomplete resection. Chemoradiotherapy was given postoperatively. The patient had local recurrence after seven months and died of cranial metastasis. The second patient had a small tumor on the right costovertebral angle which protruded towards the skin and was diagnosed by incisional biopsy. The tumor responded very well to preoperative chemotherapy and complete resection was achieved surgically. Postoperative chemoradiotherapy was also given. This patient had bone metastasis, local recurrence and pleural pulmonary metastasis after 6, 18 and 28 months, respectively, and died 30 months after the operation.We discuss the limited effect of surgery on the treatment of thoracic PNET on the basis of the results of these patients in whom we performed surgery.
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Affiliation(s)
- M Z Gunluoglu
- Department of Thoracic Surgery, Yedikule Hospital for Diseases of the Chest and Thoracic Surgery, Istanbul, Turkey
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Abstract
Bronchial ruptures due to blunt chest traumas are rarely encountered injuries. They can be missed in the emergency room depending on the clinical findings. We present a case report of a previously healthy 32-year-old woman who received multiple rib and clavicula fractures on the right side in a traffic accident. The plain radiograms taken on the first and fifth day showed no other pathological findings than the above-mentioned fractures. Her control chest radiography, which was taken 7 weeks later, showed a totally opaque left hemithorax but no findings of pneumothorax were present. Fiberoptic bronchoscopy and virtual bronchoscopy showed a left main bronchial rupture. The patient was treated with an end-to-end anastomosis via left posterolateral thoracotomy.
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Affiliation(s)
- A Demir
- Department of Thoracic Surgery, Yedikule Teaching Hospital for Chest Diseases and Thoracic Surgery, Istanbul, Turkey.
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Abstract
We present a rare case of primary tracheal schwannoma in a 49-year-old man who had experienced obstructive airway symptoms for 4 years. Computed Tomography (CT) showed an intratracheal polipoid mass lesion originating from the left lateral wall. Fibre-optic bronchoscopy revealed the diagnosis of an intratracheal poylpoid mass obstructing 70% of the lumen. After diagnosing a benign lesion by punch biopsies with bronchoscopy, thoracotomy was performed and the tumour was totally excised. Histopathological examination revealed a benign neurogenic tumour of schwann cell origin.
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Affiliation(s)
- S I Dincer
- Department of Thoracic Surgery, Yedikule Teaching Hospital for Chest Diseases and Thoracic Surgery, Istanbul, Turkey
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