A survey analysis of thoracic surgeons in Turkey on mediastinalinvestigation of lung cancer

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dc.authorid0000-0001-9169-560Xen_US
dc.contributor.authorHalezeroğlu, Semih
dc.contributor.authorTekin, Akın
dc.contributor.authorKoşar, Altuğ
dc.contributor.authorArman, Bülent
dc.date.accessioned2024-07-12T21:06:53Z
dc.date.available2024-07-12T21:06:53Z
dc.date.issued1998en_US
dc.departmentFakülteler, Tıp Fakültesien_US
dc.description.abstractA total of 59 general thoracic surgeons of 21 academically based thoracic surgery centres in Turkey were surveyed to identify the attitudes toward mediastinal investigations in patients with lung cancer. The surgeons were asked 16 questions in five separate groups by survey questionnaire. Analyses of the replies were as follows: Group I: 37 (62.7%) of the respondents were working in 11 centres where >100 patients are admitted or referred for lung cancer annually. More than 50 thoracotomies are performed for lung cancer annually in one third of the centres in which 28 (47.5%) respondents work. Group II: Among the diagnostic methods for evaluating mediastinum, surgeons most commonly used the computed tomography, mediastinoscopy, mediastinotomy and scalene lymph node biopsy. Invasive staging was done routinely by ten (16.9%) and selectively by 44 (74.6%). Group III: In patients with preoperatively histologically proven ipsilateral mediastinal lymph node involvement, 39 (66.1%) were advocates of operating. When the lymph node(s) was found to be positive at operation, 33 of them (55.9%) gave the decision with respect to the number, size and presence of pericapsular invasion of the node(s), while 24 (40.7%) decided to perform lung resection in every situation. Group IV: All accessible mediastinal nodes were said to be removed at thoracotomy by 37 (62.7%). Group V: Currently available methods for mediastinal investigation were found to be partially sufficient by 37 (62.7%). The most important factor in predicting postoperative survival was selected as nodal status by 27 (45.8%). It is noticed that nearly all thoracic surgeons in Turkey perform mediastinal investigation preoperatively in patients with lung cancer, however, the impact of lymph node status needs to be more commonly appreciated.en_US
dc.identifier.citationHalezeroğlu, S., Tekin, A., Koşar, A. ve Arman, B. (1998). A survey analysis of thoracic surgeons in Turkey on mediastinal investigation of lung cancer. Lung Cancer. 19(3), s. 191-196.en_US
dc.identifier.endpage196en_US
dc.identifier.issn0169-5002
dc.identifier.issue3en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage191en_US
dc.identifier.urihttps://www.sciencedirect.com/science/article/pii/S0169500297000962?via%3Dihub
dc.identifier.urihttps://hdl.handle.net/20.500.12415/3895
dc.identifier.volume19en_US
dc.institutionauthorKoşar, Altuğ
dc.language.isoenen_US
dc.publisherElsevieren_US
dc.relation.ispartofLung Canceren_US
dc.relation.isversionof10.1016/S0169-5002(97)00096-2en_US
dc.relation.publicationcategoryUluslararası Hakemli Dergide Makale - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmzKY02200
dc.subjectMediastinal diseaseen_US
dc.subjectDiagnosisen_US
dc.subjectEvaluationen_US
dc.subjectStagingen_US
dc.titleA survey analysis of thoracic surgeons in Turkey on mediastinalinvestigation of lung canceren_US
dc.typeArticle
dspace.entity.typePublication

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