Araştırma Çıktıları

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Author: search.filters.author.Alizade, NurlanHas files: Yes

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    Minimally invasive repair of pectus excavatum (MIRPE) in adults: is it a proper choice?
    (TERMEDIA PUBLISHING HOUSE LTD, 2016-01-01) Ersen, Ezel; Demirkaya, Ahmet; Kilic, Burcu; Kara, Hasan Volkan; Yaksi, Osman; Alizade, Nurlan; Demirhan, Ozkan; Sayilgan, Cem; Turna, Akif; Kaynak, Kamil
    Introduction: The Nuss procedure is suitable for prepubertal and early pubertal patients but can also be used in adult patients. Aim: To determine whether the minimally invasive technique (MIRPE) can also be performed successfully in adults. Material and methods: Between July 2006 and January 2016, 836 patients (744 male, 92 female) underwent correction of pectus excavatum with the MIRPE technique at our institution. The mean age was 16.8 years (2-45 years). There were 236 adult patients (28.2\%) (> 18 years) 20 female, 216 male. The mean age among the adult patients was 23.2 years (18-45 years). The recorded data included length of hospital stay, postoperative complications, number of bars used, duration of the surgical procedure and signs of pneumothorax on the postoperative chest X-ray. Results: The MIRPE was performed in 236 adult patients. The average operative time was 44.4 min (25-90 min). The median postoperative stay was 4.92 +/- 2.81 days (3-21 days) in adults and 4.64 +/- 1.58 (2-13) in younger patients. The difference was not statistically significant (p = 0.637). Two or more bars were used in 36 (15.8\%) adult patients and in 44 (7.5\%) younger patients. The difference was not statistically significant either (p = 0.068). Regarding the overall complications, complication rates among the adult patients and younger patients were 26.2\% and 11.8\% respectively. The difference was statistically significant (p = 0.007). Conclusions: MIRPE is a feasible procedure that produces good long-term results in the treatment of pectus excavatum in adults.
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    A prospective randomized trial comparing homologous and autologous fibrin sealants for the control of alveolar air leak
    (AME PUBL CO, 2017-01-01) Kilic, Burcu; Ersen, Ezel; Demirkaya, Ahmet; Kara, H. Volkan; Alizade, Nurlan; Iscan, Mehlika; Kaynak, Kamil; Turna, Akif
    Background: Postoperative air leak is a common complication seen after pulmonary resection. It is a significant reason of morbidity and also leads to greater hospital cost owing to prolonged length of stay. The purpose of this study is to compare homologous sealant with autologous one to prevent air leak following pulmonary resection. Methods: A total of 57 patients aged between 20 and 79 (mean age: 54.36) who underwent pulmonary resection other than pneumonectomy (lobar or sublobar resections) were analyzed. There were 47 males (83\%) and 10 females (17\%). Patients who intraoperatively had air leaks were randomized to receive homologous (Tisseel
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    Uniportal versus multiport video-assisted thoracoscopic surgery for anatomical lung resections: a glance at a dilemma
    (TERMEDIA PUBLISHING HOUSE LTD, 2018-01-01) Ersen, Ezel; Kilic, Burcu; Kara, Hasan Volkan; Iscan, Mehlika; Alizade, Nurlan; Demirkaya, Ahmet; Turna, Akif; Kaynak, Kamil
    Introduction: As the number of operations performed by videothoracoscopy is increasing, there is also a tendency to decrease the number of port incisions. Apart from the reduced number of surgical incisions, there are a few reports and systematic reviews that demonstrate some potential advantages of the uniportal video-assisted thoracoscopic surgery, but the impact of the reduced incisions in the clinical setting still remains uncertain. Aim: To compare uniportal video-assisted thoracoscopic surgery to multiport video-assisted thoracoscopic surgery for anatomical lung resections in patients with malignant and benign lung diseases. Material and methods: From August 2010 to April 2016, a total of 102 patients with malignant and benign lung diseases underwent videothoracoscopic lobar and sublobar lung resections in our department. Comorbidities, tumor stage, tumor localization, mortality, operative time, pain visual analogue scale, length of hospital stay, perioperative blood loss, duration and amount of postoperative drainage and air leak, number of harvested lymph nodes and complication rates were analyzed. Results: No significant difference was found in the duration of chest tube drainage, pain visual analogue scale score, length of hospital stay, perioperative blood loss, amount of postoperative drainage, number of harvested lymph nodes or complication rate. There was no surgical mortality in either of the two groups. However, operative time was shorter (189 min vs. 256 min, p < 0.005) in the multiport group than in the uniportal group. Conclusions: Compared with the uniportal approach, the multiport approach is associated with a significantly shorter operative time in our study.