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Tanısal amaçlı torasik girişimler

Diagnostic thoracic surgery procedures

Journal Name:

  • Gülhane Tıp Dergisi

Publication Year:

  • 2006

Key Words:

Keywords (Original Language):

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Abstract (2. Language): 
In this study diagnostic operative procedures were retrospectively analyzed in patients who had undiagnosed intrathoracic lesions. Between 1992 to 2004, 225 patients underwent a diagnostic operative procedure in the thoracic surgery department of Gülhane Military Medical Academy. The charts of the patients were retrospectively analyzed according to the parameters of gender, age, preoperative clinical findings, and radiological location of lesion, previous diagnostic procedure, postoperative diagnosis, treatment modality, morbidity and mortality. Diagnostic operative procedure was performed on 252 patients (162 male and 63 female). The mean age was 32.59 years (range 8-76 years). The main complaints were dyspnea (37.78%), chest pain (27.56%) and back pain (10.67%). Fifty six patients (24.88%) were asymptomatic. A thoracotomy was performed in 73.33% of the patients and video-assisted thoracoscopic surgery was used in 30.22% of the patients. No morbidity and mortality were encountered. Diagnostic operative procedures can be used safely with acceptable morbidity and mortality in patients who had undiagnosed intrathoracic lesions.
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Abstract (Original Language): 
Bu çalışmada histopatolojik tanı konulamamış intratorasik yerleşimli lezyonlara uygulanan operatif tanısal torasik girişimler retrospektif olarak incelenmiştir. GATA Göğüs Cerrahisi AD'da 1992-2005 yılları arasında tanı veya tanı-tedavi amacıyla opere edilen 225 olgu retrospektif olarak değerlendirilmiştir. Olgular yaş, cinsiyet, preoperatif klinik bulgular, radyolojik lokalizasyon, preoperatif tanısal girişimler, operatif yaklaşım, histopatolojik tanı, tedavi, mortalite ve morbidite parametreleri açısından incelenmiştir. Olguların 162'si erkek, 63'ü kadın olup yaş aralığı 8 ile 76 arasında değişmektedir (yaş ortalaması 32.59). Olgularda en sık nefes darlığı (%37.78), göğüs ağrısı (%27.56) ve sırt ağrısı (10.67) semptomlarına rastlanılmış olup, 56 olgu asemptomatiktir (%24.88). Lezyonlar 181 parankim, 17 mediyasten, 30 plevra, 1 özofagus, 3 paravertebral, ve 1 interlober fissür yerleşimli olarak saptanmıştır. Olguların 165'sinde torakotomi (%73.33) ve 68'inde (%30.22) "Videoassisted thoracoscopic surgery" uygulanmıştır. Morbidite ve mortalite gözlenmemiştir. Tanı konulamamış intratorasik yerleşimli lezyonları olan hastalarda operatif tanısal torasik girişimler kabul edilebilir bir morbidite ve mortalite oranı ile uygulanabilmektedir.
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  • 1
30-33
  • Turkish

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