Explore the vast range of titles available.

Abstract Surgical treatment of carinal tumors that extend into the lobar bronchus is a procedure that challenges thoracic surgeons. There is no consensus on the suitable technique for a safe anastomosis in lobar lung resection with carina. The preferred Barclay technique has a high rate of anastomosis-related complications. Although a lobe-sparing end-to-end anastomosis technique has been previously described, the double-barrel method can be applied as an alternative technique. We present a case where we performed double-barrel anastomosis and neo-carina formation after tracheal sleeve right upper lobectomy.

Objectives: To investigate the value of measuring the diaphragm thickness (DT) on thorax computed tomography (CT) at intensive care unit (ICU) admission for predicting intubation requirement and mortality among COVID-19 patients. Methods: This study was carried out in Ankara City Hospital, Ankara, Turkey, from September 2020 to January 2021, with 94 critical COVID-19 patients. The patients' demographic characteristics, laboratory parameters, DT measurements, mechanical ventilation (MV) requirements, and mortality statuses were retrospectively screened. The relationships between DT on initial CT, MV requirement, and mortality were investigated. Results: Diaphragm thickness was lower in patients who required intubation after ICU admission than in non-intubated patients (p=0.006); it was also lower in non-survivors (p=0.009). The threshold values for MV need was 3.35 mm (p=0.004) and 3.275 mm for mortality (p=0.006), according to the receiver operating characteristic analysis used to assess the predictive potential of DT. The non-survivor group had a greater neutrophil-to-lymphocyte ratio (p=0.026). Absolute neutrophil count (p=0.017), neutrophil-to-lymphocyte ratio (p=0.010), and interleukin-6 levels (p=0.027) were higher among patients requiring MV than among non-intubated patients. Conclusion: Mortality and MV requirements can be predicted from DT measurements. Diaphragm thickness can facilitate the identification of high-risk patients on CT evaluation at ICU admission. Keywords: COVID-19, diaphragm, computed tomography, mortality, mechanical ventilation [phrase omitted]

ABSTRACT Synovial sarcoma is one of the rare soft tissue sarcomas occurring in the periarticular region originating from synovia. Synovial sarcomas occur less frequently in the neck, tongue, larynx, mediastinum, heart, lung, abdominal wall, small intestine, mesentery, and retroperitoneum. Primary pulmonary synovial sarcoma is a poor pathological condition without extrapulmonary involvement. In these rapidly progressing tumors, making quick decisions is important and performing complete resection is the best treatment that contributes to survival. Herein, we present a case of primary pulmonary synovial sarcoma in which we were able to achieve long-term survival with the multimodal approach after complete resection.

Synovial sarcoma is one of the rare soft tissue sarcomas occurring in the periarticular region originating from synovia. Synovial sarcomas occur less frequently in the neck, tongue, larynx, mediastinum, heart, lung, abdominal wall, small intestine, mesentery, and retroperitoneum. Primary pulmonary synovial sarcoma is a poor pathological condition without extrapulmonary involvement. In these rapidly progressing tumors, making quick decisions is important and performing complete resection is the best treatment that contributes to survival. Herein, we present a case of primary pulmonary synovial sarcoma in which we were able to achieve long-term survival with the multimodal approach after complete resection.

[LANGUAGE= \"English\"] BACKGROUND: On February 6, 2023, an earthquake in Türkiye caused massive destruction. Over 50.000 people are known to have lost their lives, and over 100.000 are known to have been maimed. In our study, we aimed to analyze the treatment process of 267METHODS: The demographic characteristics, the time spent under the rubble, the duration of transfer to the hospital, and the treatment process of patients admitted to our hospital have been evaluated.RESULTS: There are 125 (46.8%) men and 142 (53.2%) women in the study. The rate of thoracic trauma was 21.8%. Of all the patients, 15.7% (n=42) had pneumothorax, 18% (n=48) had contusion, 28.8% (n=77) had hemothorax, and 73% (n=195) had rib fractures. The mean time spent under the rubble was 17.6±26.5 h, the duration of transfer to the hospital was 138.5±113.6 h, and the hospitalization time was 93.8±152.3 h. The duration of hospitalization and transfer has been statistically longer for the patients who were under the rubble (85.4%) than for those who were not. (14.6%) (p=0.048). There is a statistically weak positive correlation between the time spent under the rubble and the time of transfer (p=0.048).CONCLUSION: The state, the time spent under the rubble, and the presence of hemothorax and pneumothorax should be effectively evaluated in earthquake-induced thoracic traumas. Considering these criteria in the transfer of patients to the centers operating at full capacity in a short time will minimize morbidity and mortality.[LANGUAGE= \"Turkish\"] AMAÇ: 6 Şubat 2023 tarihinde Türkiye'de meydana gelen deprem büyük bir yıkıma yol açtı. Depremde 50.000'den fazla kişinin hayatını kaybettiği ve 100.000'den fazla kişinin sakat kaldığı bilinmektedir. Çalışmamızda hastanemize sevk edilen 1225 depremzede arasından toraks travması geçiren 267 hastanın tedavi sürecini analiz etmeyi amaçladık.GEREÇ VE YÖNTEM: Hastanemize başvuran hastaların demografik özellikleri, enkaz altında geçirdikleri süre, hastaneye nakil süreleri ve tedavi süreçleri değerlendirilmiştir.BULGULAR: Çalışmaya 125 (%46.8) erkek ve 142 (%53.2) kadın katıldı. Toraks travması görülme oranı %21.8'di. Tüm hastaların %15.7'sinde (n=42) pnömotoraks, %18'inde (n=48) kontüzyon, %28.8'inde (n=77) hemotoraks ve %73'ünde (n=195) kaburga kırığı vardı. Enkaz altında geçirilen ortalama süre 17.6±26.5 saat, hastaneye nakil süresi 138.5±113.6 saat ve hastanede yatış süresi 93.8±152.3 saatti. Hastanede yatış ve nakil süresi enkaz altında kalan hastalarda (%85.4) kalmayanlara (14.6%) göre istatistiksel olarak daha uzundu (p=0.048). Enkaz altında kalma süresi ile nakil süresi arasında istatistiksel olarak zayıf pozitif bir korelasyon vardı (p=0.048).SONUÇ: Depreme bağlı toraks travmalarında enkaz altında kalma durumu ve süresi, hemotoraks ve pnömotoraks varlığı etkin bir şekilde değerlendirilmelidir. Hastaların kısa sürede tam kapasite ile çalışan merkezlere sevkinde bu kriterlerin göz önünde bulundurulması morbidite ve mortaliteyi en aza indirecektir.AMAÇ: 6 Şubat 2023 tarihinde Türkiye'de meydana gelen deprem büyük bir yıkıma yol açtı. Depremde 50.000'den fazla kişinin hayatını kaybettiği ve 100.000'den fazla kişinin sakat kaldığı bilinmektedir. Çalışmamızda hastanemize sevk edilen 1225 depremzede arasından toraks travması geçiren 267 hastanın tedavi sürecini analiz etmeyi amaçladık.GEREÇ VE YÖNTEM: Hastanemize başvuran hastaların demografik özellikleri, enkaz altında geçirdikleri süre, hastaneye nakil süreleri ve tedavi süreçleri değerlendirilmiştir.BULGULAR: Çalışmaya 125 (%46.8) erkek ve 142 (%53.2) kadın katıldı. Toraks travması görülme oranı %21.8'di. Tüm hastaların %15.7'sinde (n=42) pnömotoraks, %18'inde (n=48) kontüzyon, %28.8'inde (n=77) hemotoraks ve %73'ünde (n=195) kaburga kırığı vardı. Enkaz altında geçirilen ortalama süre 17.6±26.5 saat, hastaneye nakil süresi 138.5±113.6 saat ve hastanede yatış süresi 93.8±152.3 saatti. Hastanede yatış ve nakil süresi enkaz altında kalan hastalarda (%85.4) kalmayanlara (14.6%) göre istatistiksel olarak daha uzundu (p=0.048). Enkaz altında kalma süresi ile nakil süresi arasında istatistiksel olarak zayıf pozitif bir korelasyon vardı (p=0.048).SONUÇ: Depreme bağlı toraks travmalarında enkaz altında kalma durumu ve süresi, hemotoraks ve pnömotoraks varlığı etkin bir şekilde değerlendirilmelidir. Hastaların kısa sürede tam kapasite ile çalışan merkezlere sevkinde bu kriterlerin göz önünde bulundurulması morbidite ve mortaliteyi en aza indirecektir.

ABSTRACT Mucosal-associated lymphoid tissue lymphoma is extremely rare due to the scarcity of lymphoid tissue in the trachea. To date, approximately 20 cases of tracheal mucosa-associated lymphoid tissue lymphoma have been reported. This case report presents a primary tracheal extranodal marginal zone lymphoma case detected incidentally during the coronavirus disease-2019 screening.

Objective: Hemoptysis is the expectoration of blood from the lower respiratory tract. Since the definitive treatment of hemoptysis often involves surgical intervention targeting the underlying disease, the initial assessment and preparation for surgical treatment are of critical importance. Method: In our study, we retrospectively evaluated the data of patients who presented to the emergency department with hemoptysis and were operated on after being consulted by the department of thoracic surgery between 2012 and 2018. Patients were divided into groups: Those who underwent emergency surgery within the first 24 hours after hospitalization, those who underwent sub-elective surgery between the 1st and 3rd days, and those who underwent elective surgery on the 4th day and later. Results: Of the 82 patients in our study, 60 (73.2%) were male and 22 (26.8%) were female. Hemoptysis was most frequently observed attributable to bronchiectasis (39%). During the preparation process for surgery, bronchial artery embolization (BAE) was performed on 16 patients (19.5%). The amount of hemoptysis in patients who underwent BAE was found to be statistically significantly higher (p=0.016). A total of 21 patients (25.6%) developed complications, none of whom had undergone pneumonectomy. Complications were found to be related to the amount of hemoptysis and length of hospital stay, but not to the application of BAE (p=0.017, p<0.001, and p=1.000, respectively), The proportion of patients who developed complications was lower in the elective group (28.6%) compared to other groups, but this difference was not statistically significant (p=0.594). Surgical mortality was observed in two patients (2.4%). Conclusion: Although medical treatment and BAE play a significant role, in controlling the clinical condition preoperatively, the definitive treatment for hemoptysis is surgery targeting the underlying disease. In suitable patients, emergency surgery and complete resections such as pneumonectomy can be performed with acceptable rates of complications and mortality. Keywords: Bronchial artery embolization, hemoptysis, surgery Amac: Hemoptizi alt solunum yollarindaki kanamanin ekspektorasyonudur. Hemoptizinin kesin tedavisi altta yatan hastaliga yonelik cerrahi oldugu icin ilk degerlendirme ve bu degerlendirmeye gore cerrahi tedaviye hazirlik sureci onem arz etmektedir. Yontem: Calismamizda 2012-2018 yillari arasinda hemoptizi nedeniyle acil servise basvuran ve gogus cerrahisine konsulte edildikten sonra opere edilen hastalarin verileri retrospektif olarak degerlendirildi. Hastalar, basvuru sonrasi ilk 24 saat icerisinde acil opere edilenler, 1-3. gunler arasinda subelektif opere edilenler ve 4. gun ve sonrasinda elektif olarak opere edilenler olmak uzere gruplara ayrildi. Bulgular: Calismamizdaki 82 hastanin, 60'i (%73,2) erkek, 22'si (%26,8) kadindi. En sik bronsiektazi (%39) nedeniyle hemoptizi izlendi. Operasyona hazirlik surecinde 16 hastaya (%19,5) bronsiyal arter embolizasyonu (BAE) gerceklestirildi. BAE uygulanan hastalarin hemoptizi miktari istatistiksel olarak anlamli derecede yuksek hesaplandi (p=0,016). Toplamda 21 hastada (%25,6) komplikasyon gelisti, hicbiri pnomonektomi uygulanan hasta degildi. Komplikasyonlarin hemoptizi miktari ve yatis suresi ile iliskiliyken BAE uygulamasi ile iliskisi olmadigi tespit edildi (sirasiyla p=0,017, p<0,001 ve p=1,000). Komplikasyon gelisen hastalarin orani elektif grupta (%28,6) diger gruplara gore dusuk bulundu ama istatistiksel olarak anlamli fark saptanmadi (p=0,594). Iki hastada (%2,4) cerrahi mortalite izlendi. Sonuc: Preoperatif donemde medikal tedavi ve BAE klinik durumun kontrolunde onemli rol oynasa da hemoptizinin tedavisi altta yatan hastaliga yonelik cerrahidir. Uygun hastalarda acil cerrahi ve pnomonektomi gibi komplet rezeksiyonlar, kabul edilebilir komplikasyon ve mortalite oranlariyla uygulanabilir. Anahtar kelimeler: Bronsial arter embolizasyonu, cerrahi, hemoptizi

BACKGROUND: On February 6, 2023, an earthquake in Turkiye caused massive destruction. Over 50.000 people are known to have lost their lives, and over 100.000 are known to have been maimed. In our study, we aimed to analyze the treatment process of 267 METHODS: The demographic characteristics, the time spent under the rubble, the duration of transfer to the hospital, and the treatment process of patients admitted to our hospital have been evaluated. RESULTS: There are 125 (46.8%) men and 142 (53.2%) women in the study. The rate of thoracic trauma was 21.8%. Of all the patients, 15.7% (n=42) had pneumothorax, 18% (n=48) had contusion, 28.8% (n=77) had hemothorax, and 73% (n=195) had rib fractures. The mean time spent under the rubble was 17.6 [+ or -] 26.5 h, the duration of transfer to the hospital was 138.5 [+ or -] 113.6 h, and the hospitalization time was 93.8 [+ or -] 152.3 h. The duration of hospitalization and transfer has been statistically longer for the patients who were under the rubble (85.4%) than for those who were not. (14.6%) (p=0.048). There is a statistically weak positive correlation between the time spent under the rubble and the time of transfer (p=0.048). CONCLUSION: The state, the time spent under the rubble, and the presence of hemothorax and pneumothorax should be effectively evaluated in earthquake-induced thoracic traumas. Considering these criteria in the transfer of patients to the centers operating at full capacity in a short time will minimize morbidity and mortality. Keywords: Earthquake; thoracic traumas; Turkiye. AMAC: 6 Subat 2023 tarihinde Turkiye'de meydana gelen deprem buyuk bir yikima yol acti. Depremde 50.000'den fazla kisinin hayatini kaybettigi ve 100.000'den fazla kisinin sakat kaldigi bilinmektedir. Calismamizda hastanemize sevk edilen 1225 depremzede arasindan toraks travmasi geciren 267 hastanin tedavi surecini analiz etmeyi amacladik. GEREC VE YONTEM: Hastanemize basvuran hastalarin demografik ozellikleri, enkaz altinda gecirdikleri sure, hastaneye nakil sureleri ve tedavi surecleri degerlendirilmistir. BULGULAR: Calismaya 125 (%46.8) erkek ve 142 (%53.2) kadin katildi. Toraks travmasi gorulme orani %21.8'di. Tum hastalarin %15.7' sinde (n=42) pnomotoraks, %18'inde (n=48) kontuzyon, %28.8'inde (n=77) hemotoraks ve %73'unde (n=195) kaburga kirigi vardi. Enkaz altinda gecirilen ortalama sure 17.6 [+ or -] 26.5 saat, hastaneye nakil suresi 138.5 [+ or -] 113.6 saat ve hastanede yatis suresi 93.8 [+ or -] 152.3 saatti. Hastanede yatis ve nakil suresi enkaz altinda kalan hastalarda (%85.4) kalmayanlara (14.6%) gore istatistiksel olarak daha uzundu (p=0.048). Enkaz altinda kalma suresi ile nakil suresi arasinda istatistiksel olarak zayif pozitif bir korelasyon vardi (p=0.048). SONUC: Depreme bagli toraks travmalarinda enkaz altinda kalma durumu ve suresi, hemotoraks ve pnomotoraks varligi etkin bir sekilde degerlendirilmelidir. Hastalarin kisa surede tam kapasite ile calisan merkezlere sevkinde bu kriterlerin goz onunde bulundurulmasi morbidite ve mortaliteyi en aza indirecektir. Anahtar sozcukler: Deprem; toraks travmalari; Turkiye.

Traumatic diaphragma injury occurs due to blunt or penetrating thoraco-abdominal traumas. Penetrating traumas cause smaller diaphragmatic ruptures but the requirement of surgical exploration provides early diagnosis compared blunt traumas. diaphragmatic injuries which occured by blunt traumas, usually accompany liver, gastric, spleen, small bowel, lung injuries. Isolated diaphragmatic rupture is a rare but life-threatening condition. The patients are usually asymptomatic if the visceral herniation does not develop in the early post-traumatic period. Radiological diagnosis is difficult in the absence of organ herniation. Delayed diagnosis is related with increased mortality. 84 year-old woman presented to the emergency service with sudden onsetof dyspnea and chest pain. Postero-anterior chest graphy revealed air-fluid level which covers middle and lover zone, lung atelectasis and pleural fluid at the left hemithorax. Chest computed tomography revealed gastric herniationin to the left hemithorax.