Araştırma Çıktıları

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    Comparative study of video-assisted thoracoscopic surgery versus open thymectomy for thymoma and myasthenia gravis
    (TERMEDIA PUBLISHING HOUSE LTD, 2018-01-01) Ersen, Ezel; Kilic, Burcu; Kara, Hasan Volkan; Iscan, Mehlika; Sarbay, Ismail; Demirkaya, Ahmet; Bakan, Selim; Tutuncu, Melih; Turna, Akif; Kaynak, Kamil
    Introduction: Thymectomy is the preferred standard treatment in younger non-thymoma patients with myasthenia gravis as well as in patients with early stage thymoma. Total thymectomy by median sternotomy has been the surgical approach since resection of the thymus with video-assisted thoracoscopic surgery (VATS). Aim: To compare the clinical outcomes of VATS thymectomy with conventional open thymectomy for neoplastic and non-neoplastic thymic diseases. Material and methods: Forty patients underwent thymectomy between October 2012 and January 2016. Fifteen patients were male and 25 patients were female. The mean age was 40.3 +/- 17.7 years. Seventeen (55\%) patients underwent VATS thymectomy and 23 (45\%) patients underwent an open procedure. We retrospectively reviewed the data of the patients and compared these two techniques. Results: The mean tumor size was 5.17 +/- 3.2 cm in the thymoma group (VATS 2.5 +/- 2.4 cm vs. open access 4.7 +/- 3.7 cm). None of the patients experienced a myasthenic crisis. Conversion to thoracotomy was required in 1 patient in the VATS group due to bleeding from the right internal mammary artery
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    Comparison of perioperative outcomes among robot-assisted, conventional laparoscopic, and abdominal/open myomectomies
    (GALENOS YAYINCILIK, 2021-01-01) Ozbasli, Esra; Gungor, Mete
    Objective: To compare the perioperative results of myomectomy performed by robotic surgery (RM), laparoscopic surgery (LM), and open/abdominal surgery (OM). Material and Methods: We included 227 patients who underwent either robotic (n=66), laparoscopic (n=88), or abdominal (n=73) myomectomy at our hospital between 2016 and 2020. Retrospective medical records, including fibroid characteristics, demographic findings, and surgical outcomes, were compared. Results: The RM group had a significantly lower body mass index and significantly larger uterine size, myoma diameter, and myoma weight than the other groups. However, the OM group had the highest number of myoma. Moreover, the RM group had higher operative time and blood loss but significantly lower maximum visual analog scale values than the OM and LM groups. Hospitalization duration was significantly different among the groups. The rate of 1-day hospitalization was 56.2\%, 64.8\%, and 37.9\% in the OM, LM, and RM groups, respectively. Furthermore, blood transfusion requirement was significantly higher in the OM group (12.3\%) than in the LM and RM groups (0.0\% and 4.5\%, respectively). Conclusion: Minimally invasive myomectomy may be preferable, particularly for women of reproductive age. In women with large uterine size and myoma, robot-assisted LM is recommended.