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    Prediction of postoperative pulmonary complications in lung cancer surgery: Is proportion of emphysema important?
    (2018) Akçam, Tevfik İlker; Kaya, Şeyda Örs; Akçay, Onur; Samancılar, Özgür; Sevinç, Serpil; Susam, Seher; Ceylan, Kenan Can
    OBJECTIVE: Preoperative evaluation in thoracic surgery is highly important to determine surgical suitability, estimate postoperative pulmonary complications, and for patient follow?up. However, there is neither a definite explanation about the possible complications nor a gold standard method. MATERIALS AND METHODS: In this study, 297 patients undergoing anatomic lung resection for primary lung carcinoma were retrospectively evaluated. To form a homogeneous group, all factors that increase the rate of pulmonary complication were excluded except emphysema. Patients who did not meet these criteria were removed from the study. The study continued with 104 other patients. This patient subgroup was divided into groups according to Goddard Classification– Score (GdCS). The correlation between GdCS and other variables was statistically investigated. RESULTS: According to the GdCS of 104 patients, the patient distribution was as follows: 10 patients (9.6%) were G0, 28 patients (26.9%) were G1, 42 patients (40.4%) were G2, 22 patients (21.2%) were G3, and 2 patients (1.9%) were G4. Thirty?five (33.6%) of 104 patients had a pulmonary complication during the postoperative follow?up. The average drainage time was longer for higher GdCS scores, and the rate of exposition to a pulmonary complication was higher in the patients with increased GdCS. CONCLUSION: In view of these findings, Goddard’s scoring for chronic obstructive pulmonary disease?emphysema patients was considered likely to be an indicative parameter in the preoperative evaluation and postoperative follow?up of thoracic surgery patients.
  • Küçük Resim Yok
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    Prediction of postoperative pulmonary complications in lung cancer surgery: Is proportion of emphysema important?
    (2018) Akçam, Tevfik İlker; Kaya, Şeyda Örs; Akçay, Onur; Samancılar, Özgür; Sevinç, Serpil; Susam, Seher; Ceylan, Kenan Can
    OBJECTIVE: Preoperative evaluation in thoracic surgery is highly important to determine surgical suitability, estimate postoperative pulmonary complications, and for patient follow?up. However, there is neither a definite explanation about the possible complications nor a gold standard method. MATERIALS AND METHODS: in this study, 297 patients undergoing anatomic lung resection for primary lung carcinoma were retrospectively evaluated. To form a homogeneous group, all factors that increase the rate of pulmonary complication were excluded except emphysema. Patients who did not meet these criteria were removed from the study. the study continued with 104 other patients. This patient subgroup was divided into groups according to Goddard Classification– Score (GdCS). the correlation between GdCS and other variables was statistically investigated. RESULTS: According to the GdCS of 104 patients, the patient distribution was as follows: 10 patients (9.6%) were G0, 28 patients (26.9%) were G1, 42 patients (40.4%) were G2, 22 patients (21.2%) were G3, and 2 patients (1.9%) were G4. Thirty?five (33.6%) of 104 patients had a pulmonary complication during the postoperative follow?up. the average drainage time was longer for higher GdCS scores, and the rate of exposition to a pulmonary complication was higher in the patients with increased GdCS. CONCLUSION: in view of these findings, Goddard’s scoring for chronic obstructive pulmonary disease?emphysema patients was considered likely to be an indicative parameter in the preoperative evaluation and postoperative follow?up of thoracic surgery patients.
  • Küçük Resim Yok
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    Skip metastasis in non-small cell lung cancer: does it affect the prognosis?
    (2017) Akçay, Onur; Akçam, Tevfik İlker; Kaya, Şeyda Örs; Samancılar, Özgür; Ceylan, Kenan Can; Sevinç, Serpil; Ünsal, Şaban
    Background: This study aims to examine skip metastases in patients who had resection due to non-small cell lung cancer. Methods: A total of 111 patients (94 males, 17 females; mean age: 58.9±10.2 years; range 35 to 82 years) who were diagnosed with non-small cell lung cancer and in whom an ipsilateral mediastinal lymph node metastasis was detected based on the pathological examination of the R0 pulmonary resection samples between January 2005 and December 2011 in our clinic were retrospectively analyzed. the patients were divided into two groups: the skip metastasis group (sN2) (group 1, n=55) [N1(-), N2(+)] and non-skip ipsilateral mediastinal lymph node metastasis group (nsN2) (group 2, n=56) [N1(+), N2(+)]. Results: the median survival was 25 months and five-year overall survival rate was 13% for both study groups. Five -year overall survival rate was higher in group 1, compared to group 2 (20% vs. 7.4%, respectively), although the difference was not statistically significant (p=0.084). Conclusion: Our study results show that five-year overall survival rates of operable patients with skip metastases are higher than those without skip metastases, although the difference is not statistically significant.