Substernal guatrlarda cerrahi

Hasan Türüt; Mehmet Sırmalı; Göktürk Fındık; Suat Gezer; Gürhan Öz; Koray Aydoğdu; İrfan Taştepe; Sadi Kaya; Güven Çetin

doi:10.17343/sdutfd.40674

Substernal guatrlarda cerrahi

Abstract

Süleyman Demirel Üniversitesi TIP FAKÜLTESİ DERGİSİ: 2009 Mart; 16 (1) Substernal guatrlarda cerrahi Hasan Türüt*, Mehmet Sırmalı**, Göktürk Fındık***, Suat Gezer***, Gürhan Öz***, Koray Aydoğdu***, Irfan Taştepe***, Sadi Kaya***, Güven Çetin***. Özet Amaç: Substernal guatr nedeniyle cerrahi tedavi uygulanan hastaların klinik ve cerrahi açıdan analizi amaçlandı. Gereç ve Yöntem: Ocak 1996-Temmuz 2006 tarihleri arasında Atatürk Göğüs Hastalıkları ve Göğüs Cerrahisi Eğitim ve Araştırma Hastanesi Göğüs Cerrahisi Kliniğinde substernal guatr tanısı nedeniyle operasyon uygulanan 34 olgu retrospektif olarak incelendi. Olgular, yaş, cinsiyet, başvuru nedenleri, bulgular, cerrahi yaklaşımlar, postoperatif histopatoloji ve takip yönünden analiz edildi. Bulgular: Toplam 34 olgunun 19.u bayan, 15.i erkek olup ortalama yaş 57.5 (dağılım; 25-71) idi. En sık başvuru nedenleri respiratuar sistemle ilgili yakınmalar (nefes darlığı ve öksürük) idi. Olguların 28.i (%82.3) standart .Collar. insizyonu ile opere edilirken, geri kalan 6 olguda ek cerrahi prosedürlere (parsiyel/komplet medyansternotomi, torakotomi) gerek duyuldu. Postoperatif histopatolojik inceleme sonucu olguların, 29.unda (%85.2) tanı diffüz/nodüler kolloidal guatr olarak raporlanırken, 2 (%5.8) olguda malignite tespit edildi. Operasyon sonrası mortalite gözlenmezken, toplam morbidite oranı %17.6 idi. Sonuç: Substernal guatrlı hastalarda cerrahi yaklaşım önemli bir tedavi seçeneğidir. Olguların büyük bir kısmında servikal yaklaşım yeterli olmakla birlikte, endikasyon durumunda eklenecek parsiyel veya komplet medyan sternotomi ile intratorasik yerleşim gösteren anormal tiroid dokusu düşük morbidite ve mortalite ile rezeke edilebilir. Anahtar kelimeler: Substernal guatr, tiroid, tiroid cerahisi Abstract Surgical treatment of substernal goiters Objective: Our aim was to analyze the clinical and surgical aspects of the patients with substernal goiter.Materials and Methods: A total of 34 patients who underwent surgical treatment with the diagnosis of substernal goiter at Atatürk Chest Diseases and Chest Surgery Center between January 1996 and July 2005 were evaluated retrospectively. The patients were analyzed with respect to age, gender, presenting symptoms,findings, surgical procedures utilized, postoperative histopathology and follow-up. Results: Of the 34 patients, 19 were female and 15 were male with an age average of 57.5 years (range; 25-71). The most common symptom was related with respiratory system (dyspne and cough). A total of 28 patients (82.3%) were managed via standard .Collar. incision whereas the remain was required a total of 6 additional surgical procedures (partial/complete median sternotomy, thoracotomy). Of the 34 patients, 29 (85.2%) were diagnosed as diffuse/nodular colloidal goiter postoperatively; malignancy was detected in 2 (5.8%) of the patients. There was no operative mortality and our morbidity rate was 17.6%. Conclusion: The management of choice in patients with substernal goiter is to be surgical. Although servical incision is adequate in most of the patients, abnormal thyroid tissue can be resected via additional partial or complete mediansternotomy when indicated in patients with intrathoracic localisation with low morbidity and mortality rates. Key words: Substernal goiter, thyroid, thyroid surgery

Keywords

Substernal guatr, tiroid, tiroid cerahisi

References

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Details

Primary Language

English

Subjects

-

Journal Section

-

Authors

Hasan Türüt This is me

Mehmet Sırmalı This is me

Göktürk Fındık This is me

Suat Gezer This is me

Gürhan Öz This is me

Koray Aydoğdu This is me

İrfan Taştepe This is me

Sadi Kaya This is me

Güven Çetin This is me

Publication Date

March 30, 2009

Submission Date

June 1, 2009

Acceptance Date

-

Published in Issue

Year 2009 Volume: 16 Number: 1

DOI

https://doi.org/10.17343/sdutfd.40674

IZ

https://izlik.org/JA72EC67WW

Cite

RIS / Bibtex

APA

Türüt, H., Sırmalı, M., Fındık, G., Gezer, S., Öz, G., Aydoğdu, K., Taştepe, İ., Kaya, S., & Çetin, G. (2009). Substernal guatrlarda cerrahi. Medical Journal of Süleyman Demirel University, 16(1), 1-5. https://doi.org/10.17343/sdutfd.40674

AMA

1.Türüt H, Sırmalı M, Fındık G, et al. Substernal guatrlarda cerrahi. Med J SDU. 2009;16(1):1-5. doi:10.17343/sdutfd.40674

Chicago

Türüt, Hasan, Mehmet Sırmalı, Göktürk Fındık, et al. 2009. “Substernal Guatrlarda Cerrahi”. Medical Journal of Süleyman Demirel University 16 (1): 1-5. https://doi.org/10.17343/sdutfd.40674.

EndNote

Türüt H, Sırmalı M, Fındık G, Gezer S, Öz G, Aydoğdu K, Taştepe İ, Kaya S, Çetin G (March 1, 2009) Substernal guatrlarda cerrahi. Medical Journal of Süleyman Demirel University 16 1 1–5.

IEEE

[1]H. Türüt et al., “Substernal guatrlarda cerrahi”, Med J SDU, vol. 16, no. 1, pp. 1–5, Mar. 2009, doi: 10.17343/sdutfd.40674.

ISNAD

Türüt, Hasan - Sırmalı, Mehmet - Fındık, Göktürk - Gezer, Suat - Öz, Gürhan - Aydoğdu, Koray - Taştepe, İrfan - Kaya, Sadi - Çetin, Güven. “Substernal Guatrlarda Cerrahi”. Medical Journal of Süleyman Demirel University 16/1 (March 1, 2009): 1-5. https://doi.org/10.17343/sdutfd.40674.

JAMA

1.Türüt H, Sırmalı M, Fındık G, Gezer S, Öz G, Aydoğdu K, Taştepe İ, Kaya S, Çetin G. Substernal guatrlarda cerrahi. Med J SDU. 2009;16:1–5.

MLA

Türüt, Hasan, et al. “Substernal Guatrlarda Cerrahi”. Medical Journal of Süleyman Demirel University, vol. 16, no. 1, Mar. 2009, pp. 1-5, doi:10.17343/sdutfd.40674.

Vancouver

1.Hasan Türüt, Mehmet Sırmalı, Göktürk Fındık, Suat Gezer, Gürhan Öz, Koray Aydoğdu, İrfan Taştepe, Sadi Kaya, Güven Çetin. Substernal guatrlarda cerrahi. Med J SDU. 2009 Mar. 1;16(1):1-5. doi:10.17343/sdutfd.40674