Araştırma Çıktıları

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Author: search.filters.author.Iscan, MehlikaSubject: search.filters.subject.uniportal

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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.
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    Single stage bilateral uniportal videothoracoscopic sympathicotomy for hyperhidrosis: can it be managed as an outpatient procedure?
    (TERMEDIA PUBLISHING HOUSE LTD, 2016-01-01) Demirkaya, Ahmet; Ersen, Ezel; Kilic, Burcu; Kara, Hasan Volkan; Iscan, Mehlika; Kaynak, Kamil; Turna, Akif
    Introduction: The videothoracoscopic approach is minimally invasive with benefits that include less postoperative pain and shorter hospital stay. It is also a safe procedure which can be performed on an outpatient basis. Aim: To determine whether videothoracoscopic sympathicotomy can be performed safely in most patients as an outpatient procedure. Material and methods: Between July 2005 and October 2015, a total of 92 patients underwent bilateral and single port thoracoscopic sympathicotomy in our department on an outpatient basis. The level of sympathicotomy was T2 in 2 (2.2\%) patients, T2 to T3 in 31 (33\%) patients, T2 to T4 in 46 (50\%) patients and T3 to T4 in 12 (13\%) patients. Demographic data, length of postoperative stay, substitution index (SI), admission rate (AR) and readmission rate (RR), complications and patient satisfaction were reviewed retrospectively. Results: Two (2.2\%) patients suffered from chest pain, while 4 (4.3\%) patients complained about pain at the port site. Mean discharge time after surgery was 5.1 h (range: 4-6 h), mean duration of hospital stay was 0.15 days (0-3 days) postoperatively and the mean operation time was 43.6 min (15-130 min). In 8 (8.6\%) patients, pneumothorax was detected on postoperative chest X-ray while 5 (5.4\%) patients required chest tube drainage. Mild or moderate compensatory sweating developed in 32 (34.7\%) patients. No recurrence was observed, and the satisfaction rate was 96.7\%. Substitution index and admission rate were 91.3\% and 11\% respectively, while RR was 0\%. Conclusions: Bilateral video-assisted thoracoscopic sympathicotomy can be performed safely in most patients as an outpatient procedure.