Göğüs cerrahisinde farklı bir yaklaşım: Giyotin lobektomi

Amaç: Bu çalışmada giyotin tekniği ile yapılan video yardımlı torakoskopik lobektominin cerrahi sonuçları ile klasik video yardımlı torakoskopik lobektomi sonuçları karşılaştırıldı. Çalışma planı: Ocak 2013 - Aralık 2019 tarihleri arasında, benign akciğer patolojileri nedeniyle video yardımlı torakoskopik lobektomi uygulanmış toplam 49 hasta (20 erkek, 29 kadın; medyan yaş: 45 yıl; dağılım, 11-73 yıl) retrospektif olarak incelendi. Hastalar iki gruba ayrıldı: lober arter ve lober bronşun tek stapler kullanılarak aynı anda kesildiği giyotin tekniği grubu (n=31) ve klasik video yardımlı torakoskopik lobektomi yapılan kontrol grubu (n=18). Hastaların demografik özellikleri, cerrahi türü, akciğer rezeksiyonu türü, cerrahi süresi, ameliyat sonrası hastanede yatış süresi, ameliyat sonrası patoloji sonucu, komplikasyonlar ve takip verileri kaydedildi. Bulgular: Kontrol ve giyotin tekniği gruplarında medyan ameliyat süresi sırasıyla 142.5 (dağılım, 60-237) dk. ve 90 ( dağılım, 5 5-180) d k o lup, i statistiksel olarak a nlamlı b ir fark vardı (p

A different approach in thoracic surgery: Guillotine lobectomy

Background: In this study, we aimed to compare the surgical results of video-assisted thoracoscopic lobectomy with the guillotine technique to the results of conventional video-assisted thoracoscopic lobectomy. Methods: Between January 2013 and December 2019, a total of 49 patients (20 males, 29 females; median age: 45 years; range, 11 to 73 years) who underwent video-assisted thoracoscopic lobectomy for benign lung pathologies were retrospectively analyzed. The patients were divided into two groups: the guillotine technique group (n=31) who had simultaneous cutting of the lobar artery and lobar bronchus with a single stapler, and the control group (n=18) who received conventional video-assisted thoracoscopic lobectomy. Demographic features of the patients, type of surgery, type of pulmonary resection, duration of the operation, postoperative length of hospital stay, postoperative pathological examination result, complications, and follow-up data were recorded. Results: The median operation time was 142.5 (range, 60 to 237) min and 90 (range, 55 to 180) min in the control and the guillotine technique groups, respectively, indicating a statistically significant difference (p

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