İlgaz Dogusoy - Academia.edu (original) (raw)

Papers by İlgaz Dogusoy

Türk Göğüs Kalp Damar Cerrahisi Dergisi, 2003

Turkiye Klinikleri Thoracic Surgery - Special Topics, 2017

Turkiye Klinikleri Thoracic Surgery - Special Topics, 2010

Turkish Journal of Thoracic and Cardiovascular Surgery, Oct 7, 2013

Paragangliyomlar mediastenin nadir tümörleridir. Tümörün büyük damarlar çevresinde olması ve hipe... more Paragangliyomlar mediastenin nadir tümörleridir. Tümörün büyük damarlar çevresinde olması ve hipervasküler özellikleri nedeni ile zor olmasına rağmen, tam cerrahi rezeksiyon tek etkin tedavi yöntemidir. Bu yazıda, radyolojik görüntüleme ile tesadüfen saptanan orta mediastende paragangliyomu olan 37 yaşında bir kadın olgu sunuldu. Tümör aktif değil idi; ancak ilk tanısal torakotomide ciddi kanama meydana geldi. Tümör selektif embolizasyondan sonra başarılı bir şekilde rezeke edildi. Tam rezeksiyondan sonra hasta nüksüz olarak beş yıl takip edildi. Anah tar söz cük ler: Mediasten; paragangliyom; terapötik embolizasyon.

Clinical Nuclear Medicine, May 1, 2011

We report tracheal recurrence in patient with non-small-cell lung cancer (NSCLC) who was diagnose... more We report tracheal recurrence in patient with non-small-cell lung cancer (NSCLC) who was diagnosed with F-18 fluorodeoxyglucose positron emission tomography/computerized tomography (FDG PET/CT) during follow-up period. A 56-year-old man presented with mediastinum involvement of NSCLC (clinical stage IIIA). After 3 cycles of neoadjuvant platinumbased chemotherapy, he underwent right pneumonectomy. Because tumor in the right main bronchus was located Ͻ2 cm distal to the carina, pathologic stage IIB (T3N0M0) disease was diagnosed according to seventh addition of American Joint Committee on Cancer (AJCC) TNM classification. Thereafter, adjuvant 3 cycles of chemotherapy was administered. At the 21st month of follow-up period, he presented with dyspnea and inspiratory stridor. FDG PET/CT was performed and it revealed multiple intense uptake foci in the trachea (SUV max ϭ 10.1) compatible with malignant tracheal nodules. After rigid bronchoscopy and biopsy were carried out, tracheal recurrence was confirmed. We conclude that it would be interesting to investigate the use of FDG PET/CT in the work-up of tracheal recurrence of NSCLC. Tracheal recurrence was confirmed with rigid bronchoscopy and biopsy.

Thoracic and Cardiovascular Surgeon, Nov 25, 2010

Castleman's disease is a rare lymphoproliferative disease and its etiology is still unkno... more Castleman's disease is a rare lymphoproliferative disease and its etiology is still unknown. It may occur at every site where lymph tissue is present. A definitive treatment is possible with complete resection. The most important problem is bleeding which may occur during surgery due to the high vascularization. In this study, we present the surgical treatment of a case with mediastinal Castleman's disease, treated preoperatively with embolization because of hypervascularization detected on thoracic CT.

DergiPark (Istanbul University), Jul 20, 2014

Fibröz mediastinit; nadir rastlan›lan, benign, mediastenin visceral yap›lar›nda kronik seyirli, s... more Fibröz mediastinit; nadir rastlan›lan, benign, mediastenin visceral yap›lar›nda kronik seyirli, sert fibröz dokular oluflturan,inflamatuar bir prosestir. Tipik olarak genç yaflta görülür, santral sistemik venler, özofagus, havayollar›, pulmoner arter ve venler gibi mediastinal yap›lar›n tutulumu ile belirti verir. Hastal›¤›n sebepleri ve oluflum mekanizmalar› kesin olmamakla beraber infeksiyöz ve noninfeksiyöz sebepler düflünülmektedir. Fibröz mediastinit sonucu vena cava superior sendromu geliflen hastada polytetrafluorethylene (PTFE) greft ile yap›lan vena cava superior rekonstrüksiyonunu sunmay› amaçlad›k. .

The Turkish Journal of Thoracic and Cardiovascular Surgery, 2018

Bu çalışmada primer spontan pnömotoraksın cerrahi tedavisinde video yardımlı torakoskopik cerrahi... more Bu çalışmada primer spontan pnömotoraksın cerrahi tedavisinde video yardımlı torakoskopik cerrahi ile aksiller torakotomi sonuçları karşılaştırıldı.

Cerrahpasa Tıp Dergisi, 2007

Ozet Fibroz mediastinit; nadir rastlan›lan, benign, mediastenin visceral yap›lar›nda kronik seyir... more Ozet Fibroz mediastinit; nadir rastlan›lan, benign, mediastenin visceral yap›lar›nda kronik seyirli, sert fibroz dokular oluﬂturan,inflamatuar bir prosestir. Tipik olarak genc yaﬂta gorulur, santral sistemik venler, ozofagus, havayollar›, pulmoner arter ve venler gibi mediastinal yap›lar›n tutulumu ile belirti verir. Hastal›¤›n sebepleri ve oluﬂum mekanizmalar› kesin olmamakla beraber infeksiyoz ve non- infeksiyoz sebepler duﬂunulmektedir. Fibroz mediastinit sonucu vena cava superior sendromu geliﬂen hastada polytetrafluorethylene (PTFE) greft ile yap›lan vena cava superior rekonstruksiyonunu sunmay› amaclad›k. . Anahtar Kelimeler: Vena cava superior sendromu, mediastinit, polytetrafluoroethylene, PTFE Cerrahpaﬂa T›p Derg 2007; 38: 99 - 101 Reconstruction with PTFE graft in vena cava superior syndrome caused by fibrosing mediastinitis Abstract Fibrosing mediastinitis is an uncommon benign disorder characterized by proliferation of dense fibrous tissue within the mediastinum. Affected patients are typically young and present with signs and symptoms related to obstruction of vital mediastinal structures, such as central systemic veins, the esophagus, airways, and pulmonary arteries or veins. The precise cause and pathogenesis of fibrosing mediastinitis in most cases is unknown, and links to infectious and noninfectious causes remain speculative. We present a case of severe symptomatic SVC syndrome as a result of fibrosing mediastinitis, which were treated successfully using a polytetrafluorethylene (PTFE) graft. KeyWords: Superior vena cava syndrome, mediastinitis, polytetrafluoroethylene, PTFE Cerrahpasa J Med 2007; 38: 99 - 101

The heart surgery forum, Jan 23, 2016

Patients with recurrent pericardial effusion and pericardial tamponade are usually treated in tho... more Patients with recurrent pericardial effusion and pericardial tamponade are usually treated in thoracic surgery clinics by VATS (video-assisted thoracoscopic surgery) or open pericardial window operation. The diagnostic importance of pathological evaluation of the pericardial fluid and tissue in the same patients has been reported in few studies. We reviewed pathological examination of the pericardial tissue and fluid specimens and the effect on the clinical treatment in our clinic, and compared the results with the literature. We retrospectively analyzed 174 patients who underwent pericardial window operation due to pericardial tamponade or recurrent pericardial effusion. For all patients both the results of the pericardial fluid and pericardial biopsy specimen were evaluated. Clinicopathological factors were analyzed by using descriptive analysis. Median age was 61 (range, 20-94 years). The most common benign diagnosis was chronic inflammation (94 patients) by pericardial biopsy. H...

Turkiye Klinikleri Journal of Thorasic Surgery Special Topics, 2010

Turkish Journal of Thoracic and Cardiovascular Surgery, 2011

Bu çalışmada perikard efüzyonu bulunan ve torakoskopik perikard pencere ile klasik anterior torak... more Bu çalışmada perikard efüzyonu bulunan ve torakoskopik perikard pencere ile klasik anterior torakotomi yapılan olgularda, klinik sonuçlar karşılaştırılarak, video yardımlı torakoskopik cerrahinin (VATS) günlük cerrahi pratikteki önemi değerlendirildi. Bunun sonucunda torakoskopik cerrahinin klasik yöntemlere göre potansiyel üstünlükleri ve olası zayıf yönleri literatür bilgileri ile karşılaştırıldı ve tartışıldı. Ça lış ma pla nı: Kliniğimizde Ocak 2006-Aralık 2009 tarihleri arasında, daha önce uygulanan medikal tedavilere yanıt vermeyen veya yapılan multipl perikardiyosentezler sonrasında nükseden 94 perikard efüzyonlu veya tamponadlı olguya cerrahi yöntemlerle parsiyel perikard rezeksiyonu uygulandı. Çalışmaya dahil edilen 94 olgunun 50'sine VATS ile perikardiyektomi yapıldı, 44'ü ise anterolateral torakotomi ile ameliyat edildi. Bu olgular; yaş ve cinsiyet dağılımı, etyoloji, ameliyat şekli, ameliyat süresi, drene edilen perikard sıvısının niteliği ve miktarı, yoğun bakım ünitesinde (YBÜ) kalış süresi, göğüs tüpü drenajı ve hastanede kalış süresi, patolojik tanı, komplikasyon, nüks, maliyet, morbidite ve mortaliteleri açısından incelendi. Bul gu lar: Malignite olan ve olmayan hastalarda anlamlı farklılıklar saptandı. Malignite olan olgularda; ameliyat tekniğine göre yaş, cinsiyet, nüks, ameliyat süreleri ve drenaj miktarları arasında istatistiksel olarak anlamlı farklılık bulunmadı (p>0.05). Ameliyat şekline göre YBÜ kalış süreleri, hastanede kalış süreleri, dren çekilme süreleri ve maliyetler arasında istatistiksel olarak VATS lehine anlamlı farklılıklar bulundu (p<0.01). Patolojisi benign olan hastalarda; ameliyat tekniğine göre yaş, cinsiyet, nüks, ameliyat süresi, YBÜ süresi, drenaj miktarı ve ameliyat süresi arasında istatistiksel olarak anlamlı fark bulunmadı (p>0.05). Ameliyat tekniğine göre bu hastalarda hastanede kalış süreleri ile dren çekilme süreleri arasında VATS lehine istatistiksel olarak anlamlı farklılıklar bulundu (p<0.01). So nuç: Video yardımlı perikardiyektomi perikard drenajı ve biyopsi için etkili bir tekniktir. Cerraha klasik cerrahi işlemlerin komplikasyonlarından kaçınarak etkili drenaj sağlayan bir perikard rezeksiyonunu gerçekleştirme olanağı verir ve eşlik eden plevral ve pulmoner bozukluklar eşzamanlı olarak tedavi edilebilir. Anah tar söz cük ler: Perikardiyektomi; cerrahi; torasik; video yardımlı torakoskopik cerrahi. Background: In this study we evaluated the importance of videoassisted thoracoscopic surgery (VATS) in the daily surgical practice by comparing the clinical results of patients with pericardial effusions who underwent classical anterior thoracotomy with thoracoscopic pericardial window. We also compared and discussed the potential advantages and possible weaknesses of thoracoscopic surgery versus the classical techniques with data available from the literature. Methods: Between January 2006 and December 2009, 94 patients diagnosed with pericardial effusion and/or tamponade who did not respond to previous medical treatments or who had a recurrence after multiple pericardiosynthesis procedures underwent surgical partial pericardial resection using surgical methods. Of these 94 patients 50 were operated on using pericardiectomy with VATS and 44 patients were operated on via anterolateral thoracotomy. These cases were evaluated with respect to age and gender distribution, etiology, operation type, operation time, quality and amount of the drained pericardial fluid, duration of intensive care unit (ICU) stay, chest tube drainage, duration of hospitalization, pathological diagnosis, complications, recurrence, cost, morbidity and mortality. Results:Significant differences were found in patients with or without malignancy. In malignant cases; no statistically significant differences were found with respect to age, gender, recurrence, operation times, or amount of drainage by the surgical technique (p>0.05). Statistically significant differences were found in favor of VATS with respect to duration of ICU stay, duration of hospitalization, drain extraction time and costs of the surgical technique (p<0.01). No statistically significant differences were found with respect to age, gender, recurrence, operation times, duration of ICU stay, amount of drainage and costs of the surgical technique in patients with benign pathology (p>0.05). Statistically significant differences were found in favor of VATS with respect to duration of hospitalization and drain extraction time by the surgical technique in this patients (p<0.01). Conclusion:Video-assisted pericardiectomy is an effective technique for pericardial drainage and biopsy. It allows the surgeon to accomplish a pericardial resection for effective drainage while avoiding the complications of classic surgical procedures and concomitant pleural and pulmonary disorders may be managed simultaneously.

Turkish Thoracic Journal/Türk Toraks Dergisi, 2015

OBJECTIVES: Trauma is currently among the most important health problems resulting in mortality. ... more OBJECTIVES: Trauma is currently among the most important health problems resulting in mortality. Approximately 25% of traumarelated deaths are associated with thoracic trauma. In the present study, morbidity and mortality rates and interventions performed in patients who had been treated as inpatients in Dr. Siyami Ersek Thoracic and Cardiovascular Surgery hospital after trauma were aimed to be evaluated. MATERIAL AND METHODS: In our study, 404 patients who were treated as inpatients because of thoracic trauma between January 2005 and December 2008 were retrospectively evaluated. RESULTS: The rates of blunt and penetrating trauma were 39.6% and 60.4%, respectively. In the study, 115 (28.4%) patients were noted to have pneumothorax, 99 (24.5%) had hemothorax, and 57 (14.1%) had hemopneumothorax. While tube thoracostomy was sufficient for treatment in approximately 80% of the patients, major surgical interventions were performed in 12.6% of the patients. Mortality rate was found to be 2.2%. CONCLUSION: In patients with chest trauma, necessary interventions should be started at the time of the event, and the time from trauma to arriving at the emergency department should be made the best of. Mortality and morbidity rates in thoracic trauma cases may be reduced by timely interventions and effective intensive care monitoring.

Journal of B.U.ON. : official journal of the Balkan Union of Oncology

Positron emission tomography (PET) is an important imaging technique for the diagnosis and stagin... more Positron emission tomography (PET) is an important imaging technique for the diagnosis and staging of patients with non-small cell lung cancer (NSCLC). In this study, we evaluated the standardized uptake values (SUV) of PET in NSCLC patients to determine whether there was a cut-off value for predicting response to treatment and survival. We retrospectively analyzed 149 patients with locally advanced NSCLC. All the patients were staged by PET-computerized tomography (CT) after diagnosis. 18fluoro-2-deoxyribose (FDG) was used as the PET tracer. Univariate and multivariate analyses were performed to detect whether any prognostic factors were related to response to treatment. The median patient age was 60 years and the median follow-up time 10.3 months. One-year progression-free survival (PFS) and overall survival (OS) rates were 31% and 58.7%, respectively. The median OS was 15.4 months. Stage, sex and response to treatment were important factors for OS and PFS. We defined a cut-off va...

Turkish Journal of Thoracic and Cardiovascular Surgery, 2014

Turkish Journal of Thoracic and Cardiovascular Surgery, 2013

Bu çalışmada açık kalp cerrahisi sonrası gelişen plevral efüzyonlara karşı tedavi yaklaşımlarımız... more Bu çalışmada açık kalp cerrahisi sonrası gelişen plevral efüzyonlara karşı tedavi yaklaşımlarımız değerlendirildi. Ça lış ma pla nı: Ocak 2011-Aralık 2011 tarihleri arasında açık kalp cerrahisi sonrası plevral efüzyon gelişen 35 hastada (27 erkek, 8 kadın; ort. yaş 61.1 yıl; dağılım 25-79 yıl) göğüs cerrahisi kliniğinde uygulanan yaklaşımlar prospektif olarak incelendi. Tedavi yaklaşımlarının klinik sonuçları; yaş, cinsiyet, önceki ameliyat tipi, önceki ameliyat ile göğüs cerrahisi girişimi arasında geçen zaman, yeri, drenaj vasfı, ekokardiyografi bulguları, uygulanan işlem tipi, komplikasyon ve mortalite yönünden incelendi. Bul gu lar: Otuz beş hasta 51 kez göğüs cerrahisi kliniğinde yatırıldı ve bu hastalara toplamda 62 işlem uygulandı. Yirmi hastada sol taraflı, 12 hastada sağ taraflı ve üç hastada iki taraflı plevral efüzyon saptandı. Efüzyonların toplam %59.67'si seröz karakterli idi. Toplam 62 işlemin 43'ü (%69.35) torasentez idi. Üç hastaya video yardımlı torakoskopik cerrahi (VYTC) yapılır iken, dört hastaya torakotomi yapıldı. Beş işlemde komplikasyon ve iki işlemde mortalite gözlendi. So nuç: Açık kalp cerrahisi sonrası görülen plevral efüzyonlar, özellikle aortokoroner baypas ameliyatı sırasında sol ön inen arter-sol iç meme arteri anastomozu yapılan ve sol plevraları cerrahi teknik nedeni ile açılmış olgularda gelişebilir. Hastalığın semptomları ve bulguları ihmal edilir veya göğüs cerrahi konsültasyonu geciktirilirse, dekortikasyon gibi invaziv bir yöntem ihtiyacı olabilir. Anah tar söz cük ler: Açık kalp cerrahisi; plevral hastalıklar; plevral efüzyon. Background: In this study, we aimed to evaluate our management approaches to pleural effusions which developed after open heart surgery. Methods: Between January 2011 and December 2011, thoracic surgical approaches to 35 patients (27 males, 8 females; mean age 61.1 years; range 25 to 79 years) whom developed pleural effusion after open heart surgery were prospectively analyzed. The clinical outcomes of management approaches, were evaluated in terms of age, gender, previous operation type, time from previous operation to thoracic surgical intervention, localization, character of drainage, echocardiographic findings, type of procedure applied, complications and mortality. Results: Thirty-five patients were hospitalized 51 times in thoracic surgery clinic and 62 procedures were applied. Twenty patients had left-sided, 12 patients had rightsided and three patients had bilateral pleural effusions. A total of 59.67% of effusions were serous in character. Of 62 procedures, 43 (69.35%) were thoracentesis. Videoassisted thoracoscopic surgery (VATS) was applied in three patients, while thoracotomy was performed on four patients. Complications were observed in five procedures and mortality was observed in two procedures. Conclusion: Pleural effusions which develop after open heart surgery may occur in patients particularly undergoing left anterior descending-left internal mammary artery anastomosis during aortocoronary bypass surgery in which left pleura is opened as a surgical technique. An invasive approach such as decortication may be required, if the symptoms and signs of the disease are ignored or delayed consultation to thoracic surgery.

Clinical Nuclear Medicine, 2011

Türk Göğüs Kalp …, 2011

... kullanarak açıldı. Perikard sıvısı tamamen aspire edilip tanısal amaçlı örnekler toplandıktan... more ... kullanarak açıldı. Perikard sıvısı tamamen aspire edilip tanısal amaçlı örnekler toplandıktan sonra frenik sinir korunarak önünden ve arkasından iki adet en az 4x4 cm&amp;amp;amp;amp;amp;#x27;lik perikard dokusu koter yardımı ile rezeke edildi. Torakoskop ...