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Öğe Assessment of Cardiac Complications in Patients Undergoing Pulmonary Resection(Elsevier Science Inc, 2019) Erol, Yeliz; Ergonul, Ayse Gul; Ozdil, Ali; Nalbantgil, Sanem; Cagirici, Ufuk; Turhan, Kutsal; Cakan, AlpaslanBackground Patients who underwent lung resection in our clinic were retrospectively investigated in terms of development of postoperative cardiac complications. Methods The file records of 207 patients who underwent lung resection between the years 2010 and 2014 were reviewed. One hundred and eighteeen (118%) (57%) of the patients were evaluated by the preoperative cardiologist and the risk level of the patients was determined according to the Lee index. Postoperative cardiac complication relation was compared with each parameter. Results The difference between the mean age of the patients with and without complication was statistically significant (p = 0.024). When the patients were grouped as over and under 65 years old, the risk of developing postoperative complications was higher and statistically significant (p = 0.015) in patients over 65 years of age. When the patients were evaluated in line with the presence of additional disease, smoking and electrocardiogram (ECG) findings, patients with hypertension developed more complications than those without hypertension (p = 0.002). When the logistic regression was adjusted according to age and sex, the development of cardiac complications in patients with hypertension was 3.25 times greater. Conclusions It should be kept in mind that the presence of hypertension in patients who will undergo lung resection and advanced age increases the risk of cardiac complications and that preoperative cardiology care may be appropriate for these patients.Öğe Expectoration of Tracheobronchial Grass Inflorescence Mimicking a Chest Wall Tumor(Derman Medical Publ, 2016) Erol, Yeliz; Ergonul, Ayse Gul; Turhan, Kutsal; Cagirici, Ufuk; Cakan, AlpaslanIn this case presentation, a 19-year-old male patient was examined because of complaints of right lateral chest swelling, lateral pain, and high fever at night. After a chest CT, the patient was directed to our clinic with a pre-diagnosis of chest wall tumor following the detection of peripheral consolidation concurrent with atelectasis in the lower lobe lateral basal segment in the right lung and a lesion with irregular contour in pleura and the thoracic wall, starting at this level and descending to the inferior. Because the symptoms pointed to infection, antibiotic therapy was started and a fine-needle aspiration biopsy was concurrently performed. Results of the biopsy were reported as "suspicious cytology." The patient, who responded to antibiotic therapy both clinically and radiologically, expectorated a foreign body during monitoring. Pathological examination reported "in herbal quality, grass inflorescence" as the traits of the expectorated body. In the literature there are cases in which grass inflorescence, in accordance with its nature, passed distally out of the chest wall with migration following the aspiration. However, no other publication has reported an intriguing case such as ours, in which the grass inflorescence caused inflammation that mimicked a chest wall tumor and then was expectorated moving in the opposite direction.Öğe Synchronous bilateral thoracoscopic lobectomy in a patient with bronchiectasis(Baycinar Medical Publ-Baycinar Tibbi Yayincilik, 2016) Turhan, Kutsal; Ozdil, Ali; Erol, Yeliz; Cakan, Alpaslan; Cagirici, UfukThoracoscopic lobectomy for focal bronchiectasis is a safe and effective surgical method. Operations for bilateral focal bronchiectasis are conventionally performed in two stages. In this article, we present a 19-year-old female patient with respiratory symptoms for 10 years which had not resolved despite several times of antibiotic therapy and who admitted to our clinic with the complaint of hemoptysis. Thorax computed tomography revealed right middle and left lower lobe bronchiectasis. Bilateral video-assisted thoracoscopic lobectomy was performed in one stage. The postoperative course was uneventful and the patient was discharged on postoperative day three. Now at the postoperative sixth month, patient is without any symptom and under our follow-up.Öğe Synchronous bilateral thoracoscopic lobectomy in a patient with bronchiectasis(2016) Turhan, Kutsal; Özdil, Ali; Erol, Yeliz; Çakan, Alpaslan; Çağırıcı, UfukFokal bronşektazi için torakoskopik lobektomi güvenli ve etkili bir cerrahi yöntemdir. İki taraflı fokal bronşektaziler için ameliyatlar konvansiyonel olarak iki aşamada uygulanmaktadır. Bu yazıda, birkaç defa antibiyotik tedavisine rağmen 10 yıldır düzelmeyen respiratuar semptomları olan ve hemoptizi yakınması ile kliniğimize başvuran 19 yaşında bir kadın hasta sunuldu. Toraks bilgisayarlı tomografisinde sağ orta ve sol alt loblarda bronşektazi izlendi. Tek aşamada iki taraflı video yardımlı torakoskopik lobektomi uygulandı. Ameliyat sonrası dönem sorunsuzdu ve hasta ameliyat sonrası üçüncü gün taburcu edildi. Şu an ameliyat sonrası altıncı ayda hasta semptomsuzdur ve izlemimiz altındadırÖğe Thoracic splenosis diagnosed 48 years after thoracoabdominal trauma(Baycinar Medical Publ-Baycinar Tibbi Yayincilik, 2016) Erol, Yeliz; Turhan, Kutsal; Ergonul, Ayse Gul; Cakan, Alpaslan; Cagirici, Ufuk; Veral, AliThoracic splenosis is a rare condition including autotransplantation of splenic tissue into the left hemithorax and resulting from simultaneous rupture of the spleen and left hemidiaphragm. In this article, we report a 61-yearold female patient examined due to back pain and who was found to have left pleural nodules in her chest X-ray and computed tomography which were considered to be malignant. Patient had a history of traumatic spleen and left diaphragm rupture. Video assisted thoracoscopic biopsy of the nodules was performed and histological examination confirmed the nodules as splenic tissue. Thoracic splenosis is a pathology which should be kept in mind in patients having a left solitary pleural nodule or multiple pleural nodules and a history of spleen and left diaphragm rupture.
