TY - JOUR T1 - Evaluation of the effect of intraoperative frozen section on overall timeliness and survival in lung cancer surgery TT - Akciğer kanseri cerrahisinde intraoperatif frozen section uygulamasının genel zamanlama ve sağkalım üzerine etkisinin değerlendirilmesi AU - Şengül İnan, Merve AU - İnan, Kubilay AU - Aytekin Çelik, İlknur AU - Karaoglanoglu, Nurettin PY - 2023 DA - September Y2 - 2023 DO - 10.16899/jcm.1347963 JF - Journal of Contemporary Medicine JO - J Contemp Med PB - Rabia YILMAZ WT - DergiPark SN - 2667-7180 SP - 891 EP - 895 VL - 13 IS - 5 LA - en AB - Background/Aim: We aimed to find out whether there is any delay in the management of the process in patients operated on for lung cancer and to understand the effect of intraoperative frozen section on this process.Methods: 176 patients were analyzed in total. The dates of admission, diagnosis, operation, and postoperative pathology results were noted. Five intervals were defined as time from first evaluation to diagnosis, first evaluation to surgery, diagnosis to surgery, first evaluation to the day of the postoperative pathology report, and diagnosis to the day of the postoperative pathology report.Results: The majority of patients (81.8%) were male, and the median age was 63 years (iqr = 11). The median time between the first assessment and the final pathological examination result was 62 days (iqr = 70). The time from initial presentation to surgery was significantly shorter (p 0.001), and the time from diagnosis to final pathology was also significantly shorter (p 0.001) in patients diagnosed by frozen section. However, there was no significant difference in the time from initial evaluation to diagnosis between the two groups (0.052). There was no significant difference in survival between patients diagnosed by freezing and patients diagnosed by other methods (p = 0.508).Conclusion: Solutions to increase the timeliness of care for patients with lung cancer can be designed with a better understanding of delays. Intraoperative frozen section diagnosis improves overall timeliness but has no effect on survival in lung cancer patients undergoing surgery. KW - Timeliness KW - lung cancer KW - thoracic surgery KW - frozen section N2 - Amaç: Akciğer kanseri nedeniyle ameliyat edilen hastalarda sürecin yönetiminde herhangi bir gecikme olup olmadığını bulmayı ve intraoperatif frozen incelemenin bu süreçteki etkisini anlamayı hedefledik. Gereç ve Yöntem: Toplam 176 hasta analiz edildi. Başvuru tarihleri, tanıları, yapılan ameliyatlar ve ameliyat sonrası patoloji sonuçları kaydedildi. İlk başvurudan histopatolojik tanının konulmasına, cerrahi gününe ve ameliyat sonrası patolojinin sonuçlandığı güne kadar olan 3 zaman dilimi, histopatolojik tanının konulduğu günden cerrahiye kadar olan interval ve cerrahi gününden ameliyat sonrası patolojinin sonuçlandığı güne kadar olan gün olmak üzere toplam 5 interval tanımlandı. Bulgular: Hastaların çoğunluğu (%81,8) erkekti ve ortanca yaş 63 (IQR=11) idi. İlk değerlendirmeden nihai patolojik inceleme sonucuna kadar geçen ortanca süre 62 gündü (iqr=70). İntraoperatif frozen inceleme ile tanı konulan hastalarda ilk başvurudan ameliyata kadar geçen süre anlamlı olarak daha kısaydı (p CR - 1. Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, Bray F. Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer J Clin. 2021 May;71(3):209-249. CR - 2. 2018 Kanser İstatistikleri, T.C. 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