Yazar "Gezer, Suat" seçeneğine göre listele
Listeleniyor 1 - 20 / 33
Sayfa Başına Sonuç
Sıralama seçenekleri
Öğe An adenocarcinonna developed in tuberculosis cavity(Elsevier Science Bv, 2011) Gezer, Suat; Kılıçgün, Ali; Tosun, Serkan…Öğe Aspiration of a huge foreign body in a young patient: teeth prosthesis aspiration(Ekin Tibbi Yayincilik Ltd Sti-Ekin Medical Publ, 2011) Öz, Gürhan; Aydın, Ertan; Yazıcı, Ülkü; Gezer, Suat; Gülhan, Erkmen; Taştepe, İrfan; Karaoğlanoğlu, Nurettin…Öğe An atypical neurofibroma in the posterior mediastinum: A case report(2011) Karapolat, Sami; Gezer, Suat; Yıldırım, Ümran; Dumlu, Talha; Balbay, Öner; Kandiş, Hayati; Özaydın, İsmetNerve sheath tumors such as neurofibroma, schwannoma, and perineurioma are relatively uncommon lesions that sometimes constitute an interesting diagnostic and therapeutic problem in the clinical practice. A 27-year-old male patient was operated for a mass located in the left posterior mediastinum. The mass was resected by a thoracotomy, and a diagnosis of atypical neurofibroma was revealed histopathologically. He has been well without any problems in his 6 months postoperative period. Intrathoracic neurogenic tumors should be resected surgically due to the possibility of malignancy. Complete resection can be performed safely by a thoracotomy approach and is necessary for achieving a cure. © 2011 Düzce Medical Journal.Öğe Bir Devlet Hastanesinde Göğüs Cerrahisi Kliniğinin İşleyişi: Şanlıurfa Devlet Hastanesinde 2 Yıllık Deneyim(2012) Gezer, Suat; Kılıçgün, H. Ali; Yüzbaşıoğlu, NihalAmaç: Ülkemiz genelinde diğer cerrahi branşlara göre daha sonradan kurulan göğüs cerrahisi bilim dalının bir devlet hastanesindeki işleyişini incelemek. Metod: Şanlıurfa Devlet Hastanesi Göğüs Cerrahisi Kliniğinde Temmuz-2006 ile Temmuz- 2008 arasında opere edilen hastaların kayıtları retrospektif olarak incelendi. Bulgular: Yaşları 8 ay ile 77 (ort:32,2) arasında değişen 242si erkek, 117si kadın 359 hastaya 390 operasyon uygulandı. En sık preoperatif tanılar 61 künt toraks travması, 58 kist hidatik, 46 spontan pnömotoraks, 29 delici kesici alet yaralanması, 22 ampiyem, 21 yabancı cisim aspirasyonu, 12 bronşektazi, 10 akciğer kanseriydi. Operasyonların 209i lokal, 181si genel anestezi altına uygulandı. Lokal anestezi altında da en çok tüp torakostomi (n180), genel anestezi altında en çok 64 sağ torakotomi, 43 sol torakotomi, 2 bilateral torakotomi, 35 rijid bronkoskopi uygulandı. Sonuç: Bir devlet hastanesinde göğüs cerrahisi kliniğini aktif olarak işletirken karşılaşılan en önemli sorunlar yeterli ekipman ve deneyimli yardımcı personel eksikliği ve diğer branşların göğüs cerrahisi hakkındaki bilgi eksikliğidir.Öğe Current therapies for pulmonary hydatid cyst and its complications(2011) Kılıçgün, Ali; Gezer, SuatAmaç: Bu çalışmada, akciğer hidatik kisti tanısıyla cerrahi tedavi uygulanan hastaların ilk başvuru şikayetlerinin ve ameliyat sonuçlarının irdelenmesi ve ayrıca karaciğer hidatik kist oranının belirlenmesi amaçlanmıştır. Yöntemler: Çalışmaya, 2004-2008 yılları arasında akciğer hidatik kisti tanısı ile öpere edilen toplam 70 hasta dahil edildi. Bu hastaların klinik, radyolojik ve cerrahi tedavi ile ilgili özellikleri retrospek-tif olarak değerlendirildi. Bulgular: Hastaların 30'unda kist/kistler perfore, 40 hastada intakt idi. 70 hastanın 35'i sağ 29'u sol da yerleşimli üç hastada ise bilateral akciğer kisti bulunmaktaydı. Hastaların 49'una kistektomi ve kapito-naj (%70) operasyonu uygulanırken, yedi hastaya kistektomi iki hastaya ise wedge rezeksiyon uygulandı. Perfore kistlerin %23'ü (7 hasta) hastaneye klinik ve radyolojik olarak pnömotoraks/hidropnö-motoraks bulgularıyla başvurdu. Hastaların dokuzunda komplikasyon gelişirken en sık görülen komplikasyon atelektazi idi. Sonuç: Akciğer kist hidatiğinin güncel tedavisinde parankim koruyucu cerrahi yaklaşım etkili ve güvenilir bir tedavi seçeneğidir. Eşlik eden karaciğer kubbe kistlerine aynı seansta müdahale edilebilmektedir. Perfore kistlerin pnömotoraks bulgularıyla acil kliniklere başvurabilecekleri akılda tutulmalıdır.Öğe Do non-steroidal anti-inflammatory agents prevent stenotic complications of tracheal surgery? The effects of tenoxicam on tracheal healing(Ekin Tibbi Yayincilik Ltd Sti-Ekin Medical Publ, 2011) Gezer, Suat; Karapolat, Bekir Sami; Yıldırım, Ümran; Kandiş, Hayati; Aydın, Leyla YılmazBackground: Postoperative strictures, which are still serious problems of tracheal surgery, are caused by an inflammatory reaction with subsequent edema and granulation tissue formation. Taking this into consideration, we have designed a study in which tenoxicam (potent, non-steroidal, anti-inflammatory drug) was used after a tracheal surgery in rats. Methods: Fourteen female Wistar rats were randomly divided into two groups (tenoxicam and control group) with equal numbers. Ketamine-xylazine anesthesia was performed in the rats. A vertical incision on the anterior tracheal wall, including the third to fifth cartilaginous rings, was performed and closed primarily with an interrupted suture technique using 4/0 absorbable suture. The tenoxicam group was administered 0.5 mg/kg/day tenoxicam and the control group was given 0.5 cc/day 0.9% NaCl via intraperitoneal route for 10 days beginning from the operation day. After two weeks, all animals were sacrificed under general anesthesia. Tracheas were excised, and a pathologist blindly evaluated the cases. The Mann-Whitney U-test was used for statistical analysis, and a value of p<0.05 was considered significant. Results: The rat specimens were histologically evaluated and scored for inflammatory cell infiltration, angiogenesis, fibroblast proliferation, collagen deposition, and epithelial regeneration. There were meaningful differences in fibroblast proliferation (p=0.036) and epithelial regeneration (p=0.002). These results show that epithelial regeneration was higher and fibroblast proliferation was lower in the tenoxicam group. Conclusion: Increased fibroblastic activity causes stenosis after tracheal surgery and the application of tenoxicam diminishes fibroblast proliferation and improves epithelial healing. Therefore, postoperative non-steroidal anti-inflammatory drug usage might be a useful therapy in the prevention of stenotic complications after tracheal surgery. However, further studies are needed.Öğe Effect of Intrapleural Povidone-Iodine Lavage on Thyroid Hormones in Thoracic Surgery(Georg Thieme Verlag Kg, 2010) Fındık, Göktürk; Gezer, Suat; Aydoğdu, Koray; Öz, Gürhan; Küçükbayrak, A.; Taştepe, İrfan; Kaya, SadiObjective: Povidone-iodine (PI) is an effective disinfectant used in many surgical operations. It is known that PI is absorbed by the skin after application. Absorption is even greater in infants, as their skin is thinner and more permeable. Iodine absorption in the orbita, neck and during abdominal surgery has been previously investigated, but such a study has not been performed for the pleura, which has a greater area and capacity for absorption. In this study, we investigated the effect of intraoperative povidone-iodine lavage on thyroid hormones during thoracic surgery. Material and Method: Fifty patients without any thyroid pathology scheduled for thoracotomy were divided into 2 groups. Group A (n = 25) was given intraoperative saline lavage, while group B (n = 25) had povidone-iodine lavage. Levels of free T3 (FT3), free T4 (FT4) and thyroid-stimulating hormone (TSH) measured 1 day preoperatively and 1 day postoperatively were analyzed. Results: There was a statistically meaningful change in FT3 levels (p = 0.033) between groups, but the measured changes in FT4 and TSH levels were not statistically significant (p = 0.98 and p = 0.71, respectively). FT3 scores for group A were decreased postoperatively compared to the scores for group B, but all results were in normal ranges. In group A, the changes between preoperative and postoperative levels of FT3 and FT4 were statistically significant, while changes in TSH levels were not. In group B, changes in FT4 levels were statistically significant and changes in FT3 and TSH levels were not. Conclusions: The scores show that the iodine absorbed by the pleura during intraoperative povidone-iodine lavage has an effect on thyroid function. Intrapleural PI lavage results in changes to some thyroid hormone levels due to pleural absorption. Thus, intrapleural PI lavage should be used with care.Öğe The Effects of Erdosteine on Tracheal Healing in Rats(Wroclaw Medical Univ, 2011) Karapolat, Sami; Gezer, Suat; Yıldırım, Ümran; Dumlu, Talha; Karapolat, Banu; Özaydın, İsmet; Kandiş, HayatiBackground. Proliferating scar tissue and strictures, which are still serious problems of tracheal surgery, are caused by an inflammatory reaction with subsequent edema and granulation tissue. Tracheal stenosis leads to severe morbidity and multiple surgical operations are sometimes needed in those patients. Objectives. To assess the effect of the antioxidant and anti-inflammatory drug Erdosteine to prevent tracheal stenosis in a rat model. Material and Methods. Fourteen female adult Wistar albino rats were divided into two groups, a control group (Group A, n = 7) and an Erdosteine group (Group B, n = 7). Under general anesthesia, the tracheas were incised vertically, extending from the 3(rd) to the 5(th) cartilaginous rings and closed primarily with absorbable sutures. Group A had 0.5 cc/day 0.9% NaCl, and Group B had 10 mg/kg/day Erdosteine, both administered by gavages and maintained for 10 days. At the end of the procedure, the rats were sacrificed and their tracheas were excised from cricoid cartilage to carina. The specimens were histologically evaluated using light microscopy and scored for inflammatory cell infiltration, angiogenesis, fibroblast proliferation, collagen deposition, and epithelial regeneration. All of the results were statistically analyzed and a value of p < 0.05 was considered statistically significant. Results. There were only meaningful differences in epithelial regeneration (p = 0.001), displaying that epithelial regeneration was better in Group B. However, the differences in inflammatory cell infiltration, angiogenesis, fibroblast proliferation and collagen deposition did not reach statistical significance. Conclusions. The severity of pathological changes forming in the tissue after tracheal surgery could not be reduced with Erdosteine use. Thus, Erdosteine does not seem to be an applicable preventive treatment agent for possible postsurgical tracheal stenosis (Adv Clin Exp Med 2011, 20, 1, 31-37).Öğe Effects of Urtica dioica on hepatic ischemia-reperfusion injury in rats(Hospital Clinicas, Univ Sao Paulo, 2010) Kandiş, Hayati; Karapolat, Sami; Yıldırım, Ümran; Sarıtaş, Ayhan; Gezer, Suat; Memişoğulları, RamazanOBJECTIVES: To evaluate the effects of Urtica dioica on hepatic ischemia-reperfusion injury. METHODS: Thirty adult male Wistar albino rats were divided into three groups: sham group (group 1), control group (group 2), and Urtica dioica group (group 3). All the rats were exposed to hepatic ischemia for 60 min, followed by 60 min of reperfusion. In group 2, a total of 2 ml/kg 0.9% saline solution was given intraperitoneally. In group 3, a total of 2 ml/kg Urtica dioica was given intraperitoneally. At the end of the procedure, liver tissue and blood samples were taken from all rats. Serum aspartate aminotransferase, alanine aminotransferase, lactate dehydrogenase, ceruloplasmin, catalase, paraoxonase, arylesterase, and lipid hydroperoxide levels were measured. Liver tissue histopathologies were also evaluated by light microscopy. RESULTS: Serum aspartate aminotransferase, alanine aminotransferase and lactate dehydrogenase levels were significantly higher in group 2 than in group 1, and significantly lower in group 3 than in group 2. Also, group 2 had higher serum lipid hydroperoxides and ceruloplasmin levels but lower catalase, paraoxonase, and arylesterase levels than group 1. In group 3, serum lipid hydroperoxides and ceruloplasmin levels were significantly lower, and catalase, paraoxonase, and arylesterase levels were higher than those in group 2. Histopathological examination showed that liver tissue damage was significantly decreased in group 3 compared with group 2. CONCLUSIONS: Urtica dioica has a protective effect on the liver in hepatic ischemia-reperfusion-injured rats.Öğe Emergent treatment of epidural pneumatosis and pneumomediastinum developed due to tracheal injury: A case report(2010) Kılıçgün, Ali; Gezer, Suat; Korkmaz, Tanzer; Kahramansoy, NurettinEpidural pnömatozis epidural boşlukta hava bulunmasıdır. Epidural pnömatozis acil tıp pratiğinde nadir rastlanılan bir durumdur. On yaşında bisiklet kazası sonucu servikal travma geçiren hastada klinik olarak subkutan amfizem, radyolojik olarak pnömotoraks, pnömomediastinum ve epidural pnömatozis geliştiği izlendi. Hastaya sol tüp torakostomi kapalı sualtı drenajı takibinde pretrakeal fasyanın açılması işlemi uygulandı. Yeterli düzelme izlenmemesi üzerine trakea eksplore edildi ve primer onarım yapıldı. Bu tedaviler sonrası epidural pnömatozis, pnömomediastinum ile birlikte tamamen geriledi. Bu olgu epidural pnömatozisin çok nadir görülmesi ve trakea yaralanmalarında akla getirilmesi amacıyla sunulmuştur.Öğe Entübasyon Sonrası Gelien Trakeal StenozunAnestezi Yönetimi ve Cerrahi Prosedürü(2013) Erbaş, Mesut; Ateş, Hakan; Gezer, Suat; Karapolat, Sami; Aydın, Leyla Yılmaz; Öztürk, Ömür; Demiraran, YavuzEndotrakeal tüp veya trakeostomi kanüllerinin kafları fazla volümde hava ile i irildikleri takdirde temas halinde oldukları hava yollarına basınç uygulayarak mukozada travmaya yol açmaktadırlar. Sonuçta bu bölgede çember eklinde nekroz alanı ve skatris-striktür olu ması ile ciddi bir klinik durum olan semptomatik trakeal stenozlar meydana gelmektedir. Yirmi dört ya ında erkek olgu nefes darlı ı ve hırıltılı solunum ikâyetleri ile acil servise ba vurdu. Anamnezde yakın zamanda yüksekten dü me nedeniyle yo un bakım ünitesinde entübe olarak takip ve tedavi edildi i ö renilen olgunun fizik muayenesinde inspiratuvar wheezing ve stridor tespit edildi. Arter kan gazında pH: 7.31 ve pO2: 68.7 mmHg idi. Anterior-posterior ve lateral boyun grafilerinde trakeal stenoz alanı görüldü. Bilgisayarlı tomografide trakeanın ba langıcında 22 mm uzunlu unda ve en dar yerinde 3,5 mm çapında olan stenotik segment izlendi. Olguya kollar insizyon ile stenotik segment rezeksiyonu ve uç uca anastomoz uygulandı. Postoperatif dönemde komplikasyon geli meyen olgu 7. gün taburcu edildi. Klinik, radyolojik ve bronkoskopik olarak tam iyile me gözlenen olgu 1 yıllık takibin sonunda halen asemptomatiktir. Uzun süreli entübasyonlarda yüksek kaf basıncına ba lı olarak geli en trakeal stenozlar ciddi solunum sıkıntısı ve ya am kalitesinde bozulmaya yol açmaktadırlar. Cerrahi olarak yapılan stenotik segmentin rezeksiyonu ve uç uca anastomoz tekni i etkili bir anestezi yönetimi ve postoperatif bakımla birle tirildi inde ba arılı sonuçlar alınabilmektedir.Öğe The evaluation of Pat-Pat related injuries in the western black sea region of Turkey(Biomed Central Ltd, 2011) Karapolat, Sami; Sarıtaş, Ayhan; Kandiş, Hayati; Çıkman, Mehmet; Gezer, Suat; Özaydın, İsmet; Dumlu, TalhaBackground: Accidents caused by motorized vehicle in the agricultural sector are frequently observed. In Turkey; accidents arising from motorized vehicles, named Pat-Pat, which are used by farmers in the Western Black Sea region is not unusual. Methods: One hundred five patients who were brought into the Emergency Department of Duzce University, Medical Faculty Hospital between September 2009 and August 2010 due to Pat-Pat related accidents were evaluated. Results: The cases consisted of 73 (69.5%) males and 32 (30.5%) females, ranging from 2 to 73 years of age. In the 10-39 age group, a total of 63 (60.0%) cases were determined. The months when the greatest rate of cases applied to the hospital consisted of July, August, September and the season is summer. The cases were exposed to trauma in roads in 54 (51.4%), and 51 (48.6%) occurred in agricultural area without roads. Eighty seven (82.9%) cases were injured due to the overturning of vehicle. The patients were brought to the hospital using a private vehicle in 54 (51.4%) of the cases and in 51 (48.6%) cases, 112 ambulance system was used. The cases were determined to apply to the hospital most frequently between 6 pm-12 am. The injuries frequently consisted of head-neck and spine traumas, thorax traumas and upper extremity traumas. In 55 (52.4%) cases, open wound-laceration was determined. Seventy five (71.4%) cases were treated in the Emergency Department, and 28 (26.7%) were hospitalized. Three (2.9%) cases were deceased. Conclusions: Serious injuries can occur in Pat-Pat related accidents, and careful systematic physical examination should be conducted. In order to prevent these accidents, education of farm operators and engineering studies on the mechanics and safety of these vehicles should be taken and legal regulations should be created.Öğe Histological Investigation of the Effects of Tenoxicam on Pulmonary Complications of Pneumoperitoneum - Tenoxicam Reduces Lung Injuries Caused by Pneumoperitoneum(Wroclaw Medical Univ, 2011) Gezer, Suat; Karapolat, Sami; Yıldırım, Ümran; Türüt, Hasan; Erbaş, Mesut; Özaydın, İsmetObjectives. Pneumoperitoneum increases intra-abdominal pressure and generates oxidative stress, which mediates tissue injury. One of the causes of oxidative stress production is an inflammatory reaction. Taking this into consideration, the current animal study was designed, using tenoxicam before a laparoscopy procedure in order to ascertain whether tenoxicam can prevent lung injury caused by pneumoperitoenum. Material and Methods. Fourteen female Wistar rats were randomly divided into two groups: the tenoxicam group (seven rats) and the control group (seven rats). The tenoxicam group was given two doses (totalling 0.5 mg/kg) of intraperitoneal tenoxicam, and the control group was given 0.5 cc of 0.9% NaCl, 12 hours and 1/2 hour before the operation. Under intra-peritoneal anesthesia, a Veress needle was placed in the peritoneal cavity and a 15 mm-Hg pneumoperitoneum was established and maintained for 20 minutes; the peritoneal gas was then desufflated. The lungs were resected at the 180(th) minute from the beginning of the operation and were evaluated histopathologically. Histopathological evaluations including intra-alveolar hemorrhage, alveolar edema, congestion and leukocyte infiltration were carried out for both groups. Results. A statistical comparison of the evaluation scores revealed significant differences between the two groups for intra-alveolar hemorrhage (p = 0.007), alveolar edema (p = 0.023) and congestion (p = 0.005) and a nonsignificant difference for leukocyte infiltration (p = 0.114). Conclusions. Pneumoperitoneum causes injuries to lung tissue; tenoxicam reduces that damage and protects the lungs by decreasing intra-alveolar hemorrhage, alveolar edema and congestion (Adv Clin Exp Med 2011, 20, 4, 503-507).Öğe Is standard cervical mediastinoscopy still a valuable operation?(Drunpp-Sarajevo, 2012) Karapolat, Sami; Erbaş, Mesut; Yıldırım, Ümran; Gezer, SuatBackground: Mediastinoscopy is a widely used surgical procedure in the diagnosis of mediastinal disease and the staging of lung cancer. Objective: To question the feasibility of mediastinoscopy procedure at a newly established thoracic surgery center. Methods: Fifty patients who underwent mediastinoscopy at the Thoracic Surgery Clinic of Duzce University School of Medicine, between January 2009 and January 2011 were reviewed retrospectively. Results: In a majority of cases, mediastinoscopy was conducted with diagnostic purposes, and frequently, sarcoidosis and tuberculosis diagnoses were made. Among patients with malignancy who had mediastinoscopy for staging purposes, N2 or N3 were determined in half of them. In mediastinoscopy, which has a 98% success rate, 16% morbidity rate was determined, where hoarseness due to nervus laryngeus recurrens damage and pneumothorax are frequently observed. There was no mortality among patients. Conclusions: Although mediastinoscopy may cause various complications in newly established thoracic surgery centers, it is an essential surgical procedure that should be routinely applied to patients.Öğe Kergin Pneumonectomy: A Rare Procedure(Elsevier Science Inc, 2011) Gezer, Suat; Öz, Gürhan; Taştepe, İrfanWe have evaluated our cases of "Kergin" pneumonectomy in which a bronchial flap of the medial part of the right main stem bronchus was created during right pneumonectomy and was turned upward to cover the lateral airway defect at the level of the carina. Five male patients with a mean age of 53.6 underwent "Kergin" pneumonectomy due to nonsmall cell carcinoma arising from right upper lobe entrance, which does not allow a classical pneumonectomy. Postoperative pathology stagings were stage IIB in 1 patient and stage IIIA in 4 patients. Any operative mortality or short-term complication was not observed. Two of the patients died in the second year of follow-up. "Kergin" pneumonectomy is a rarely performed procedure with acceptable morbidity and mortality and good lung cancer resection. Actually, our current report of five cases will be one of the largest series of "Kergin" pneumonectomy. (Ann Thorac Surg 2011; 91: e77-8) (C) 2011 by The Society of Thoracic SurgeonsÖğe Management of traumatic pneumothorax(2010) Karapolat, Sami; Gezer, Suat; Aydın, Leyla Yılmaz; Dumlu, Talha; Kandiş, Hayati[No abstract available]Öğe Mediastinal masses; the analysis of 28 cases in the western black sea region(2013) Gökçe, Mertol; Saydam, Özkan; Kılıçgün, Hacı Ali; Karapolat, Sami; Gezer, SuatAmaç: Mediastinal kitleler hayati organlara yakın olması ve çeşitli histopatolojik tipler içermesinden dolayı çok önemlidir. Bu çalışmanın amacı, cerrahi olarak tanı konulan ve rezeksiyon yapılan mediastinal kitleli olguları retrospektif olarak analiz etmektir. Gereç ve Yöntem: Mayıs 2008-Aralık 2011 tarihleri arasında, Batı Karadeniz bölgesinde ki üniversite hastaneleri göğüs cerrahisi kliniklerimizde mediastinal kitle nedeniyle operasyon uygulanan 28 hasta retrospektif olarak incelendi. Olgular yaş, cinsiyet, şikâyet, klinik ve radyolojik bulgular, cerrahi yaklaşım, histopatolojik tanı, postoperatif komplikasyon ve mortalite açısından incelendi. Olguların yaş aralığı 31-76 arasında (ortalama: 52,07) ve 19’u kadın, 9’u erkek toplam 28 hastadan oluşuyordu. Başvuru şikâyetleri öksürük, göğüs ağrısı, kas güçsüzlüğü ve dispne idi. Bir olguda vena kava süperior sendromu vardı. Olguların %21,4’ü asemptomatikti. Olguların %85,72’sine komplet rezeksiyon yapılırken, %14,28’ine ise yalnızca biyopsi yapılabildi. Postoperatif komplikasyon bir olguda görüldü ve mortalite izlenmedi. Sonuç: Cerrahi tedavi, mediastinal kitlelerin kesin tanı ve tedavisinde düşük mortalite ve morbidite oranı ile güvenilir bir yöntemdir.Öğe Mediastinal masses; the analysis of 28 cases in the Western Black Sea Region [Mediastinal kitleler; batı karadeniz bölgesindeki 28 olgunun analizi](Derman Medical Publishing, 2013) Gökçe, Mertol; Saydam, Özkan; Kılıçgün, Hacı Ali; Karapolat, Sami; Gezer, SuatMediastinal masses are important because they are adjacent to vital structures and have various histopathologic types. In this study, the cases with mediastinal masses which were diagnosed by surgical approach and resected were analyzed retrospectively. Material and Method: 28 patients with mediastinal masses, who were operated in thoracic surgery clinics of Western Black Sea region universities between May 2008 and December 2011, were analyzed retrospectively. The cases were examined in terms of age, sex, complaint, clinical and radiologic findings, surgical approach, histopathological diagnose, postoperative complications and mortality. The cases are consisted of 19 woman and 9 men whose ages vary between 31 and 76 (median: 52,07). They were attended with cough, chest pain, muscle weakness and dyspnea. One patient had vena cava superior syndrome. 21,4% of patients were asymptomatic. Complete resection was made in 85,72% while only biopsy was performed in 14,28% of the cases. Postoperative complication was one patient and there was no mortality. Discussion: Operative therapy, a definitive diagnose and treatment of mediastinal masses is a reliable method with low mortality and morbidity rate.Öğe Our cases of sarcoidosis diagnosed by mediastinoscopy; Western black sea experience(2012) Kılıçgün, Ali; Karapolat, Sami; Saydam, Özkan; Gezer, Suat; Gökçe, MertolAmaç: Sarkoidoz etyolojisi bilinmeyen, sistemik tutulum gösteren ve nonka-zeifiye granülomlarla seyreden bir hastalıktır. Sarkoidoz tanısını mediasti-noskopi ile koyduğumuz hastalarımızı evreleri ve klinik özellikleri bakımından değerlendirdik. Gereç ve Yöntem: Kliniklerimizde (Batı Karadeniz Üniversite Hastanelerinde) mediastinoskopi ile sarkoidoz tanısı alan 38 olgu geriye dö-nük olarak incelendi. Olgular posteroanterior akciğer grafilerine göre evre-lendirildi. Hastaların başvuru şikayetleri, solunum fonksiyon testleri, tanı yön-temleri, evreleri, eşlik eden hastalık varlığı, klinik ve laboratuar özellikleri de-ğerlendirildi. Bulgular: Hastaların 26’sı kadın 12’si erkeklerden oluşmaktaydı. Ortalama yaş 49 yıl iken yaş aralığı ise 24-71 yıl idi. En sık başvuru şikayeti öksürük olarak tespit edildi, en sık radyolojik evre ise evre II idi. En sık sağ pa-ratrakeal lenf nodlarından biopsi (2R,4R) alınırken en az sol paratrakeal lenf nodlarından biopsi alındı. Mortalite izlenmedi. 3 hastada komplikasyon geliş-ti. Sonuç: Sarkoidoz tanısının genelde hiler lenfadenomegali ve akciğer pa-rankiminde infiltrasyonun bulunduğu evre II’de konulduğu görüldü. Sarkoidoz tanısında mediastinoskopi ile mediastinal lenf nodu biopsisi hızlı sonuç veren ve düşük morbidite ve mortalite ile etkili bir yöntemdir.Öğe Our cases of sarcoidosis diagnosed by mediastinoscopy; Western black sea experience [Mediastinoskopi ile tanı konulan sarkodioz olgularımız; Batı karadeniz deneyimi](Derman Medical Publishing, 2012) Kılıçgün, Ali; Karapolat, Sami; Saydam, Özkan; Gezer, Suat; Gökçe, MertolAim: Sarcoidosis is a multisystemic disease, characterized by noncaseating granuloms, the aetilogy remains unknown. We have stated that sarcoidosis diagnosis used by mediastinoscopy and our patients evaluated by stage and clinical features. Material and Method: 38 cases with a diagnosis of sarcoidosis by mediastinoscopy in our, clinics (University Hospitals of Western Black Sea) were retrospectively analyzed. Cases was staging according to posteroanterior chest x-rays. Admission complaints,Pulmonary Function Tests, diagnostic methods, disease stages, co-morbid diseases, clinical and laboratory features of the patients were assessed. Results: 26 of the patients were female, 12 were male. Mean age was 49 and age range was between 24-71 years. Most common complaint at appeal was cough, and the most common radiological stage was 2. The most common biopsy taken from the lymph nodes was right paratracheal (2R, 4R), the least common was the left paratracheal lymph nodes. There was no mortality. Complications developed 3 patients. Discussion: Sarcoidosis diagnoses usually settled was in stage 2 with hilar lymphadenomegalia and lung parenchymal infiltration. Mediastinoscopy in the diagnosis of sarcoidosis with mediastinal lymph node biopsy is an effective procedure with quick results, low morbidity and mortality rates. © 2012, Derman Medical Publishing. All rights reserved.