Anterior Mediastinal Kitlelere Cerrahi Yaklaşım

Year 2019, Volume: 3 Issue: 2, 154 - 158, 23.08.2019

Muharrem Özkaya Nilay Çavuşoğlu

https://doi.org/10.30565/medalanya.555611

Abstract

Amaç: Anterior mediastinal kitle tanısı ile ameliyat edilen vakaların klinik seyrini, cerrahi yaklaşım tiplerini ve erken dönem sonuçlarını incelenmesi amaçlandı. 

Hastalar ve Yöntemler: 2014 – 2019 yılları arasında anterior mediastinal kitle tanısı ile ameliyat edilen 25 olgu retrospektif olarak incelendi. Hastaların yaşı, cinsiyeti, prezente eden semptomları, preoperatif radyolojik değerlendirmeleri ve cerrahi teknikler kaydedildi. Sekizi erkek, 17 ‘i kadın toplam 25 hastanın yaşları 18-89 arasında değişmekte olup ortalama 44,4± 16,9 yıl idi. 

Bulgular: En sık izlenen semptom göğüs ağrısı (%90) ve öksürük (%50) olduğu gözlendi. En sık gözlenen patolojik tanılar timik tümörler (n=14, %56,0) ve lenfoma (n=5,%20,0) olarak belirlendi. Uygulanan cerrahi yaklaşım 16 hastada median sternotomi, beş hastada parsiyel sternotomi ve dört hastada VATS (Video Assisted Thoracic Surgery) idi. Postoperatif ölüm veya majör komplikasyon gözlenmemekle birlikte sekiz hastada minör komplikasyonlar gelişti. Ortalama cerrahi sonrası hastanede kalış süresi 5±5,2 gün idi. 

Sonuç: Anterior mediasten kitlelerin tanı ve tedavisinde cerrahi yaklaşım güvenle uygulanabilen temel bir yöntemdir. 

Keywords

Mediastinum, Operatif prosedür, Cerrahi

Surgical Approach to Anterior Mediastinal Masses

Abstract

Aim: The aim of this study was to evaluate the clinical progress, type of surgical approach and early results of resection of anterior mediastinal masses. 

Patients and Methods: We retrospectively reviewed the reports of 25 patients who underwent surgery for an anterior mediastinal mass between 2014 and 2019. Patients’ age, gender, presenting symptoms, preoperative radiological investigations and surgical techniques were recorded. There were eight male and 17 female patients, and their age ranged from 18-89 with a mean of 44.4± 16.9 years. 

Results: The most frequent presenting symptoms were chest pain (90%) and cough (50%). The most common pathological diagnoses were thymic tumors (n=14, 56%) and lymphoma (n=5, 20%). Surgical approaches applied were median sternotomy in 16 patients, partial sternotomy in five patients and VATS (Video Assisted Thoracic Surgery) in four patients. There were no postoperative deaths or major complications, but eight patients had minor complications. Postoperative stay was 5±5.2 days. 

Conclusion:Surgery is a safe technique for diagnosis and treatment of anterior mediastinal masses. 

Keywords

Mediastinum, Operative procedure, Surgery

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