Biomedical subjects

Hasan Akin

Publications and source records attributed to Hasan Akin.

4 recordsLinked to original sources

PubMed2006

Role and outcome of surgery for pulmonary tuberculosis.

The need and outcome of surgical intervention in patients with pulmonary tuberculosis were assessed retrospectively. Between 1993 and 2003, 72 major surgical procedures were performed in 57 patients with pulmonary tuberculosis. There were 44 males and 13 females with a mean age of 34 years. Indications for surgery were: trapped lung in 18 (31.6%), multidrug-resistant tuberculosis in 10 (17.5%), aspergilloma in 10 (17.5%), destroyed lung in 5 (8.8%), massive hemoptysis in 4 (7%), bronchopleural fistula in 3 (5.3%), persistent cavity in 2 (3.5%), and undiagnosed nodule in 5 (8.8%) patients. The most common procedure was lobectomy (31.9%). Other procedures included decortication, wedge resection, pneumonectomy, segmentectomy, and myoplasty. There were 28 complications in 18 patients, including prolonged air leak in 12 (21.1%), residual space in 7 (12.3%), empyema in 5 (8.8%), hematoma in 2 (3.5%), chylothorax and bronchopleural fistula in 1 (1.8%) each. There was no operative death, but one patient died from sepsis late in the follow-up period (mortality, 1.8%). As morbidity and mortality rates are acceptable, surgical intervention can be considered safe and effective in patients with pulmonary tuberculosis.

Adolescent↗

PubMed2006

Lobar torsion after pulmonary resection; report of two cases.

Lobar torsion is a rare complication after pulmonary resection. We report a case of right middle lobe torsion following a right upper lobectomy, and left lower lobe torsion following a left upper lobectomy. Careful postoperative clinical observation, chest radiography, fiberoptic bronchoscopy (FOB), and computed tomography (CT) are crucial for precise diagnosis of lobar torsion following pulmonary resection. Both patients underwent re-thoracotomy; a middle lobectomy and completion pneumonectomy were performed. In the clinical management of lobar torsion urgent diagnosis and conclusive surgical resection is needed to avoid mortality and morbidity.

Adenocarcinoma↗

PubMed2005

A giant endobronchial inflammatory polyp.

Bronchial inflammatory polyps are defined as tumor-like lesions. They are usually related to chronic inflammatory processes in the adult. Because they may cause complications, they should be surgically removed. A 55-year-old male patient had been followed for recurrent pulmonary infections for 40 years. His main symptoms were orthopnea and hemoptysis upon admission to our hospital. A chest computerized tomography (CT) revealed bronchiectasis located at the right middle lobe and lower lobe and obstruction of the main bronchus at the level of carina. In bronchoscopy a mobile polypoid pinkish lesion protruding to the trachea was observed. We performed an inferior bilobectomy. The pathological examination revealed an endobronchial fibroepithelial polyp. The presence of a giant endobronchial polyp with chronic respiratory symptoms over an extended period of time and the rarity of information pertaining to these lesions in the literature provoked intrigue and constituted a worthy presentation.

Bronchial Neoplasms↗

PubMedDate not supplied

Is routine mediastinoscopy indicated for patients with T1 non-small cell lung cancer?

OBJECTIVE: Mediastinoscopy is gold standard in the staging patients with non-small cell lung cancer (NSCLC) patients. Yet, its necessity in every patient is being questioned as new data is being collected. In the present study, we compared pathology reports of the cases with T1 NSCLC both after mediastinoscopy and thoracotomy, and discussed about the necessity of mediastinoscopy. METHODS: We retrospectively reviewed the records of 74 patients (73 patients with pathologic T1 NSCLC patients who underwent pulmonary resection and one patient clinically T1 who did not undergo pulmonary resection), between 1996 and 2002. Clinically 80% of the cases were at T1 stage, and the rest were at T2 stage. The distribution of clinical lymph node status was NO in 85%, 15% N2. RESULTS: Fifty-three (71.6%) cases underwent mediastinoscopy. Mediastinoscopy showed that one patient had contralateral lymph node involvement and the remaining cases had no lymph node metastases. No mortality occurred and morbidity rate was 1.9%. Lobectomy was performed in 60 cases, pneumonectomy in seven, wedge resection in five, and segmentectomy in one. The histopathologic types were; squamous cancer in 40 (55%) cases, adenocarcinoma in 29 (40%), and large cell carcinoma in four (5%). Only two cases (2.7%) who had no detectable lymph node metastases at mediastinoscopy were found to have N2 disease after thoracotomy. In rest of the cases, NO was observed in 48 (66%) and N1 in 23 (31.5%). Five-year survival of the cases was calculated to be 73%. The two cases with N2 disease are alive at seven and four years after the operation. CONCLUSION: Routine mediastinoscopy does not appear to be necessary for patients with clinical T1 non-small cell carcinoma having no enlarged lymph nodes on computerised tomography.

Adult↗