Thoracoscopic procedures in children with anterior mediastinal tumors [Çocuklarda ön mediasten tümörlerinde torakoskopik girişimler]

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dc.contributor.authorÖzcan C.
dc.contributor.authorÇelik A.
dc.contributor.authorArda S.
dc.contributor.authorBalik E.
dc.date.accessioned2019-10-27T00:10:05Z
dc.date.available2019-10-27T00:10:05Z
dc.date.issued2005
dc.departmentEge Üniversitesien_US
dc.description.abstractAim: Thoracoscopy is frequently performed in pediatric patients for the diagnosis or treatment of mediastinal masses. In this study, we present our experience with thoracoscopic surgery in patients with anterior mediastinal tumors. Method: A total of 7 thoracoscopic procedures were performed in 6 children. Mean age of patients was 11.3 (7-14) years. Selective intubation of contralateral main bronchus, obliteration of ipsilateral main bronchus by a Fogarty catheter or CO2 insufflation into the pleural space with 5-8 mmHg pressure were the methods used to collapse the ipsilateral lung. Three trocars and 5 mm 0-degree telescope were used in all procedures. After 6 procedures, a chest tube was inserted through one of the trocar tracts while no drain was used after 1 procedure. Results: The biopsies (4 insicional, 2 excisional) were performed for a primary histologic diagnosis in 4 children and for the assessment of residual masses persisted after therapy in the remaining 2 patients. A second thoracoscopy and total resection of the mass was performed in a patient biopsied previously, and whose tumour shriked but not completely disappeared after chemotherapy. Conversion to thoracotomy was not required in any of the procedures and no postoperative complication was observed. The mean number of chest tube days was 1.6 (1-3). The histologic diagnosis of the tumors biopsied for a primary diagnosis were undifferentiated small round cell malign tumor (n=1) and Hodgkin Lymphoma (n=3). The pathologic examination revealed benign histology in residual tumors persisted after cessation of therapy (n=3). Conclusion: Thoracoscopic surgery in the treatment of children with anterior mediastinal tumors can be efficacious and safe. Mediastinal masses can be biopsied and resected by thoracoscopy alone.en_US
dc.identifier.endpage73en_US
dc.identifier.issn1305-5194
dc.identifier.issn1305-5194en_US
dc.identifier.issue2en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage69en_US
dc.identifier.urihttps://hdl.handle.net/11454/21867
dc.identifier.volume19en_US
dc.indekslendigikaynakScopusen_US
dc.language.isotren_US
dc.relation.ispartofCocuk Cerrahisi Dergisien_US
dc.relation.publicationcategoryKonferans Öğesi - Uluslararası - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectChilden_US
dc.subjectMassen_US
dc.subjectMediastinumen_US
dc.subjectThoracoscopyen_US
dc.titleThoracoscopic procedures in children with anterior mediastinal tumors [Çocuklarda ön mediasten tümörlerinde torakoskopik girişimler]en_US
dc.typeConference Objecten_US

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