Yıl 2020, Cilt 4 , Sayı 4, Sayfalar 293 - 295 2020-04-01

Primer spontan pnömotoraks tedavisinde torakoskopinin alternatifi olarak transaksiller mini torakotomi: Prospektif kohort çalışma
Transaxillary mini thoracotomy as an alternative to thoracoscopy in the treatment of primary spontaneous pneumothorax: A prospective cohort study

Murat SARIÇAM [1]


Amaç: Primer spontan pnömotoraks tedavisinde uygulanan geleneksel açık cerrahi ve endoskopik yaklaşımların sonuçları karşılaştırılmaya devam etmektedir. Bu çalışma torakoskopinin alternatifi olarak kabul edilen transaksiller mini torakotominin etkinliğini belirlemeyi hedeflemektedir.
Yöntemler: 2012 ile 2018 tarihleri arasında pnömotoraks nedeniyle 3-port torakoskopi ve transaksiller mini torakotomi uygulanmış olan 40’ar hastayı içeren bir çalışma yürütüldü. İki farklı cerrahi tipi yaş, cinsiyet, ameliyat tarafı, hastanede kalış süresi, komplikasyonlar, nüks ve toplam maliyet açısından karşılaştırıldı.
Bulgular: Tüm grupta 68 (%85) erkek ve 12 (%15) kadın hasta vardı. Ortalama yaş 25 (3,96) (aralık: 18-35) yıl idi. Pnömotoraks 42 (%52.5) hastada sağ tarafta saptandı. Ortalama hastanede kalış süresi 2,86 (0,56) (aralık: 2-4) gün olarak hesaplandı. Hasta başına ortalama 3263,75 (563,71) TL masraf yapıldı. Toplam 11 (%13,75) hastada komplikasyon gelişirken 4 (%5) hastada nüks saptandı. Farklı cerrahi yapılan grupları arasında yaş, cinsiyet, ameliyat tarafı, hastanede kalış süresi ile komplikasyon ve nüks oranları açısından istatistiksel olarak anlamlı fark yokken maliyet torakotomi grubunda belirgin olarak düşüktü.
Sonuç: Spontan pnömotoraks tedavisinde benzer cerrahi sonuçları ve daha düşük maliyeti göz önüne alındığında transaksiller mini torakotomi torakoskopiye alternatif olarak güvenle tercih edilebilir.

Aim: Arguments comparing the outcomes of traditional open surgery and endoscopic approach performed for the treatment of primary spontaneous pneumothorax persist. This study aims to reveal the efficiency of transaxillary mini thoracotomy which is considered an alternative to thoracoscopy.
Methods: This study was conducted with 40 patients who underwent 3-port thoracoscopy and 40 patients who were treated with transaxillary mini thoracotomy for pneumothorax between 2012 and 2018. Two different types of surgery were compared in terms of age, gender, side of operation, duration of hospital stay, complications, recurrence and total cost.
Results: The whole group included 68 (85%) males and 12 (15%) females. Mean age was 25 (3.96) (range: 18-35) years. Pneumothorax was right sided in 42 (52.5%) patients. Mean hospital stay was 2.86 (0.56) (range: 2-4) days. Average cost was 3263.75 (563.71) TL per patient. Complications occurred in 11 (13.75%) patients whereas 4 (5%) cases developed recurrence. Groups of different surgeries had no statistically significant difference in terms of age, gender, side of operation, duration of hospital stay, rates of complication and recurrence while the average of cost was significantly lower for thoracotomy group.
Conclusion: Regarding the identical surgical outcomes and lower cost, transaxillary mini thoracotomy can be safely preferred as an alternative to thoracoscopy for the treatment of spontaneous pneumothorax.
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Birincil Dil en
Konular Cerrahi
Bölüm Araştırma makalesi
Yazarlar

Orcid: 0000-0003-3469-5798
Yazar: Murat SARIÇAM (Sorumlu Yazar)
Kurum: Namık Kemal Üniversitesi
Ülke: Turkey


Tarihler

Yayımlanma Tarihi : 1 Nisan 2020

Bibtex @araştırma makalesi { josam655089, journal = {Journal of Surgery and Medicine}, issn = {}, eissn = {2602-2079}, address = {jsurgmed@gmail.com}, publisher = {Fatih BAŞAK}, year = {2020}, volume = {4}, pages = {293 - 295}, doi = {10.28982/josam.655089}, title = {Transaxillary mini thoracotomy as an alternative to thoracoscopy in the treatment of primary spontaneous pneumothorax: A prospective cohort study}, key = {cite}, author = {Sarıçam, Murat} }
APA Sarıçam, M . (2020). Transaxillary mini thoracotomy as an alternative to thoracoscopy in the treatment of primary spontaneous pneumothorax: A prospective cohort study . Journal of Surgery and Medicine , 4 (4) , 293-295 . DOI: 10.28982/josam.655089
MLA Sarıçam, M . "Transaxillary mini thoracotomy as an alternative to thoracoscopy in the treatment of primary spontaneous pneumothorax: A prospective cohort study" . Journal of Surgery and Medicine 4 (2020 ): 293-295 <http://jsurgmed.com/tr/pub/issue/53710/655089>
Chicago Sarıçam, M . "Transaxillary mini thoracotomy as an alternative to thoracoscopy in the treatment of primary spontaneous pneumothorax: A prospective cohort study". Journal of Surgery and Medicine 4 (2020 ): 293-295
RIS TY - JOUR T1 - Transaxillary mini thoracotomy as an alternative to thoracoscopy in the treatment of primary spontaneous pneumothorax: A prospective cohort study AU - Murat Sarıçam Y1 - 2020 PY - 2020 N1 - doi: 10.28982/josam.655089 DO - 10.28982/josam.655089 T2 - Journal of Surgery and Medicine JF - Journal JO - JOR SP - 293 EP - 295 VL - 4 IS - 4 SN - -2602-2079 M3 - doi: 10.28982/josam.655089 UR - https://doi.org/10.28982/josam.655089 Y2 - 2020 ER -
EndNote %0 Journal of Surgery and Medicine Transaxillary mini thoracotomy as an alternative to thoracoscopy in the treatment of primary spontaneous pneumothorax: A prospective cohort study %A Murat Sarıçam %T Transaxillary mini thoracotomy as an alternative to thoracoscopy in the treatment of primary spontaneous pneumothorax: A prospective cohort study %D 2020 %J Journal of Surgery and Medicine %P -2602-2079 %V 4 %N 4 %R doi: 10.28982/josam.655089 %U 10.28982/josam.655089
ISNAD Sarıçam, Murat . "Transaxillary mini thoracotomy as an alternative to thoracoscopy in the treatment of primary spontaneous pneumothorax: A prospective cohort study". Journal of Surgery and Medicine 4 / 4 (Nisan 2020): 293-295 . https://doi.org/10.28982/josam.655089
AMA Sarıçam M . Transaxillary mini thoracotomy as an alternative to thoracoscopy in the treatment of primary spontaneous pneumothorax: A prospective cohort study. J Surg Med. 2020; 4(4): 293-295.
Vancouver Sarıçam M . Transaxillary mini thoracotomy as an alternative to thoracoscopy in the treatment of primary spontaneous pneumothorax: A prospective cohort study. Journal of Surgery and Medicine. 2020; 4(4): 293-295.
IEEE M. Sarıçam , "Transaxillary mini thoracotomy as an alternative to thoracoscopy in the treatment of primary spontaneous pneumothorax: A prospective cohort study", Journal of Surgery and Medicine, c. 4, sayı. 4, ss. 293-295, Nis. 2020, doi:10.28982/josam.655089