Atila EROĞLU, Ali Bilal ULAŞ, Yener AYDIN

Mediastinal kistlerin tedavisinde video yardımlı torakoskopik cerrahi ve torakotominin karşılaştırılması

Amaç: Bu çalışmada mediastinal kistik lezyonların tedavisinde video yardımlı torakoskopik cerrahi ve torakotominin sonuçları karşılaştırıldı. Çalışma planı: Kliniğimizde Ocak 1997 ve Aralık 2016 tarihleri arasında mediastinal kist tedavisi nedeniyle torakotomi veya video yardımlı torakoskopik cerrahi uygulanan 60 hasta (28 erkek, 32 kadın; ort. yaş 36.1±19.4 yıl; dağılım, 2 gün-82 yıl) retrospektif olarak değerlendirildi. Tanı için tüm katılımcılarda göğüs radyografisi ve toraks bilgisayarlı tomografi kullanıldı. Yirmi üç katılımcıda ek olarak manyetik rezonans görüntüleme kullanıldı. Bulgular: Mediastinal kistler hastaların 19’unda (%31.7) anterior-süperior mediasten, 19’unda (%31.7) orta mediasten ve 22’sinde (%36.6) posterior mediasten yerleşimli idi. Histopatolojik olarak 17 bronkojenik kist, 15 kist hidatik, 10 perikardiyal kist, yedi kistik teratom, dört enterik kist, dört timik kist, iki lenfanjiom ve bir torasikus duktus kisti tespit edildi. Hastaların 34’üne (%56.7) torakotomi uygulanır iken 26’sına (%43.3) video yardımlı torakoskopik cerrahi uygulandı. Torakotomilerin ve video yardımlı torakoskopik cerrahilerin ortalama süresi sırasıyla 123.6±24.7 dakika ve 87.4±17.6 dakika idi (p

Comparison of video-assisted thoracoscopic surgery and thoracotomy in the treatment of mediastinal cysts

Background: This study aims to compare the results of video-assisted thoracoscopic surgery and thoracotomy in the treatment of mediastinal cystic lesions.Methods: Sixty patients (28 males, 32 females; mean age 36.1±19.4 years; range, 2 days to 82 years) who were performed thoracotomy or video- assisted thoracoscopic surgery for mediastinal cyst treatment in our clinic between January 1997 and December 2016 were retrospectively evaluated. Chest radiography and thorax computed tomography were used in all participants for diagnosis. Magnetic resonance imaging was used additionally in 23 participants.Results: Of the patients, mediastinal cysts were localized in anterior-superior mediastinum in 19 (31.7%), middle mediastinum in 19 (31.7%) and posterior mediastinum in 22 (36.6%). Histopathologically, 17 bronchogenic cysts, 15 hydatid cysts, 10 pericardial cysts, seven cystic teratomas, four enteric cysts, four thymic cysts, two lymphangiomas and one thoracic duct cyst were identified. While thoracotomy was performed in 34 patients (56.7%), video-assisted thoracoscopic surgery was performed in 26 patients (43.3%). Mean duration of thoracotomies and video-assisted thoracoscopic surgeries was 123.6±24.7 minutes and 87.4±17.6 minutes, respectively (p

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