Asian perspective in surgery: thoracic surgery in Turkey

Turna, Akif

doi:10.21037/jtd.2016.08.69

Cited by 3 publications

(2 citation statements)

References 6 publications

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“…[ 2 ] The first VATS lobectomy in Türkiye was performed in 2001, and its use has since been increasing, particularly in the field of lung cancer surgery. [ 9 ] Although VATS is an increasing field of application in bronchiectasis, one of the infectious diseases of the lung, the presence of enlarged and adherent lymph nodes, bleeding during dissection, presence of fragile tissue, existing adhesions, enlarged bronchial arteries, and vascular structures are significant obstacles to this application. However, our literature review revealed that there are few studies on this subject.…”

Section: Discussionmentioning

confidence: 99%

Analysis of bronchiectasis patients who underwent video-assisted thoracoscopic surgery in a tertiary thoracic surgery center: Ten years of experience

Aydoğdu,

Çetin,

Yılmaz

et al. 2024

Turk Gogus Kalp Dama

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Background: This study aimed to analyze our video-assisted thoracic surgery (VATS) experience in the surgical treatment of bronchiectasis and the reasons limiting VATS application. Methods: Two hundred one patients (106 males, 95 females; mean age: 39.7±14.1 years; range, 12 to 68 years) who underwent surgical treatment for bronchiectasis between January 2012 and October 2021 were included in the retrospective study. Three groups were created based on the surgical technique used: VATS, thoracotomy, and patients who were converted from VATS to thoracotomy. Results: The most significant presenting symptoms were cough (43%) and excessive sputum expectoration (40%). Surgical intervention was applied to the left side of 60% of the patients, and the most common resection performed in all three groups was left lower lobectomy. The rate of conversion from VATS to thoracotomy was 28.8%, and it was found that dense pleural adhesions were the most common reason. Revision surgery was performed on a total of 11 (5.47%) patients. The frequency of revision surgery did not differ significantly among the three groups (p=0.943). The most common postoperative complication was prolonged air leakage. There was no statistically significant difference in postoperative complication rates among the groups (p=0.417). The rate of surgical treatment of bronchiectasis with VATS was observed to have increased from 11.1% to 77.7% in our clinic. Conclusion: In experienced hands, VATS can be safely applied in the surgical treatment of bronchiectasis.

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Section: Discussionmentioning

confidence: 99%

Analysis of bronchiectasis patients who underwent video-assisted thoracoscopic surgery in a tertiary thoracic surgery center: Ten years of experience

Aydoğdu,

Çetin,

Yılmaz

et al. 2024

Turk Gogus Kalp Dama

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“…Since state hospitals are the institutions where all citizens can receive health care services without distinction of social security institutions, open heart surgery and angiography make these hospitals more advantageous for patients. According to recent data, cardiac surgery and angiography services are provided in 207 centers in 46 provinces in Turkey 20 . One hundred twentytwo of these centers are private hospitals, 44 are university hospitals, and 40 are state hospitals 21 .…”

Section: Discussionmentioning

confidence: 99%

The effect of the number of vessel grafts used in coronary artery bypass grafting surgery to short-term mortality

Ulular

2020

Cukurova Medical Journal

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ÖzPurpose: The study aimed to share the short-term mortality rates of coronary artery bypass grafting (CABG) experience in a private hospital and to evaluate parameters affecting the clinical outputs following the CABG who were divided according to the number of vessel graft. Materials and Methods:The study is a longitudinal-term observational clinical study, with a patient follow-up period of 7 years in Turkey. We analyzed 3027 cases with outcomes and short-term mortality according to the number of vessel grafts that we used as 1 (n:608), 2-3 (n:1359), and four or more (n:1060) grafts. Results: The short-term mortality was found as 1.1% (36/3027) in all the patients. The male population was the highest in the group with the highest number of vascular grafts and its percentage to females was correlated with vessel grafts that we performed. Mean aortic cross-clamp time was 36.6±17.2 minutes, while bypass time was 66.4±21 minutes. The mean number of vessels revascularized was 3.17±0.9 (1-7). The amount of drainage was 419±286 ml. The period of intensive care was 1.2±1.1 days, while the hospital period was 5.2±1.5days. In comparison according to the number of vascular grafts, positive inotrope agent, drainage, blood supply, crossclamp and pump period showed significant difference. Conclusion:The number of vessel grafts was related to clinical outputs of CABG operations and Our CABG in the private hospital reached the short-term mortality rates that were below the averages of Turkey and international operations. Amaç: Çalışmada, özel bir hastanede koroner arter baypas greftleme (KABG) deneyiminin kısa dönem mortalite oranlarının paylaşılması ve damar grefti sayısına göre bölünen KABG sonrası klinik sonuçlarını etkileyen parametreleri değerlendirmeyi amaçladık. Gereç ve Yöntem: Çalışma, Türkiye'de 7 yıllık hasta takip süresi olan, uzun süreli gözlemsel bir klinik çalışmadır. 1 (n:608), 2-3 (n:1359) ve dört veya daha fazla (n:1060) greft olarak kullandığımız damar greftlerinin sayısına göre sonuçları ve kısa vadeli mortalitesi olan 3027 vakayı analiz ettik. Bulgular: Kısa dönem mortalite tüm hastalarda 1,1% (36/3027) olarak bulundu. Erkek popülasyonu en fazla damar grefti olan grupta en yüksek idi ve kadınlara oranı yaptığımız damar greftleriyle korele idi. Ortalama aortik kros klemp süresi 36.6±17.2 dakika, baypas süresi 66.4±21 dakika idi. Revaskülarize edilen damar sayısı ortalama 3,17±0,9 (1-7) idi. Drenaj miktarı 419±286 ml idi. Yoğun bakım süresi 1,2±1,1 gün, hastanede kalma süresi 5,2±1,5 gün idi. Vasküler greft sayısına göre karşılaştırıldığında pozitif inotrop ajan, drenaj, kan temini, kros klemp ve pompa periyodu anlamlı farklılık gösterdi. Sonuç: Damar grefti sayısı KABG ameliyatlarının klinik sonuçları ile pozitif ilişkiliydi. KABG sonuçlarımız başarılı olarak Türkiye ve uluslararası ameliyat ortalamalarının altında kısa dönem mortalite oranlarına ulaştı.

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Video-Assisted Thoracoscopy: Multiportal Uniportal

Sungur¹,

Şentürk²

2022

Cohen's Comprehensive Thoracic Anesthesia

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Asian perspective in surgery: thoracic surgery in Turkey

Cited by 3 publications

References 6 publications

Analysis of bronchiectasis patients who underwent video-assisted thoracoscopic surgery in a tertiary thoracic surgery center: Ten years of experience

Analysis of bronchiectasis patients who underwent video-assisted thoracoscopic surgery in a tertiary thoracic surgery center: Ten years of experience

The effect of the number of vessel grafts used in coronary artery bypass grafting surgery to short-term mortality

Video-Assisted Thoracoscopy: Multiportal Uniportal

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