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VENA KAVA SÜPERYÖR SENDROMUNDA TANISAL CERRAHİ GİRİŞİMLER

Journal Name:

  • Cerrahpaşa Tıp Dergisi

Publication Year:

  • 1999

Key Words:

Keywords (Original Language):

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Abstract (2. Language): 
Superior vena cava syndrome, which is easy to diagnose develops as a result of obstruction of the superior vena cava by extrinsic compression, direct invasion or thrombus. Design.- We retrospectively reviewed 10 patients in whom we detected superior vena cava syndrome and applied surgical procedures in order to clarify their etiologies. We performed 12 surgical procedures. The patients were all male with a mean age of 43,5 (16-72). The surgical procedures were; 5 mediastinoscopies, 3 thoracotomies, 2 mediastinotomies, 1 sternotomy and 1 axillary biopsy. Anterior mediastinotomy was performed in two cases in addition to mediastinoscopy. Results.- The etiology was; malignancy originating from lung in 5, lymphoma in 3, and undifferentiated carcinoma in 2. In the postoperative period, we encountered complications in two patients but no mortality was detected. Conclusion.- In the superior vena cava syndrome diagnostic surgical procedures are very effective in detecting the etiology and planning an appropriate oncologic treatment in malignant lesions.
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Abstract (Original Language): 
Vena kava süperyör sendromu, vena kava süperyörün, dıştan bası, direk invazyon veya trombüs ile tıkanması sonucu gelişen ve klinik olarak kolayca tanınabilen bir sendromdur. Vena kava süperiör sendromu saptadığımız ve etyolojilerini aydınlatmak amacıyla cerrahi girişim uyguladığımız 10 olguyu retrospektif değerlendirildik. Yaş ortalaması 43,5 (16-72) ve tamamı erkek olan olgularımıza toplam 12 cerrahi girişim uygulandık. Mediastinoskopi 5, torakotomi 3, mediastinotomi 2, sternotomi ve aksiller biyopsi birer kez uygulandı. Mediastinoskopi uygulanan olgulardan ikisinde kesin tanı koyulamaması üzerine bu olgulara anteryör mediastinotomi yapıldı. Etyoloji 5 olguda akciğer kaynaklı malignite, 3 olguda lenfoma, 2 olguda ise indiferansiye karsinomdu. Postoperatif dönemde iki olguda komplikasyon gelişirken, mortalite saptanmadı. Vena kava süperyör sendromunda, tanısal cerrahi girişimler, etyolojinin aydınlatılmasında ve malign lezyonlar için uygun bir onkolojik tedavinin planlanmasında oldukça etkilidir.
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  • 4
269-272
  • Turkish

REFERENCES

References: 

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