Browsing by Author "Turna, Akif"
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Item Does pathological staging following neoadjuvant therapy (ypTNM) reflect the reality?(Elsevier, 2017-01) Kara, Hasan; Demir, Adalet; Turna, Akif; Toker, Alper; Melek, Hüseyin; Ero, Mehmet; Bayram, Ahmet Sami; Gebitekin, Cengiz; Uludağ Üniversitesi/Tıp Fakültesi/Göğüs Cerrahisi Anabilim Dalı.; 0000-0003-1822-8153; 0000-0003-0684-0900; AAI-5039-2021; ABB-7580-2020; AAE-1069-2022Item Does PET/CT SUVmax value correlate with long-term survival in patients with surgically treated stage I non-small cell lung cancer(Elsevier, 2017-01) Kara, Kasan; Demir, Adalet; Turna, Akif; Toker, Alper; Kaynak, Kamil; Melek, Hüseyin; Çetinkaya, Gamze; Bayram, Ahmet Sami; Erol, Mehmet; Gebitekin, Cengiz; Uludağ Üniversitesi/Tıp Fakültesi/Göğüs Cerrahisi Anabilim Dalı.Item Standard mediastinoscopy versus video-assisted mediastinoscopic lymphadectomy in clinical N1 non-small cell lung cancer(Elsevier, 2018-10) Turna, Akif; Kara, Hasan Volkan; Kılıç, B.; Kaynak, Kamil; Melek, Hüseyin; Uludağ Üniversitesi/Tıp Fakültesi/Göğüs Cerrahisi Anabilim Dalı.; 0000-0003-1822-8153; AAI-5039-2021Item Validity of the updated European Society of Thoracic Surgeons staging guideline in lung cancer patients(Mosby-Elsevier, 2018-02) Turna, Akif; Kara, H. Volkan; Kılıç, Burcu; Erşen, Ezel; Kaynak, Kamil; Melek, Hüseyin; Uludağ Üniversitesi/Tıp Fakültesi/Göğüs Cerrahisi Anabilim Dalı.; 0000-0003-1822-8153; AAI-5039-2021; 9639938400Objective: The European Society of Thoracic Surgeons (ESTS) has proposed a revised preoperative lymph node staging guideline for patients with potentially resectable non-small cell lung cancer (NSCLC). We aimed to assess the validity of this revised ESTS guideline and survival results in our patient cohort. Methods: A total of 571 patients with potentially resectable NSCLC seen between January 2004 and November 2013 were included in the study. The preoperative mediastinal staging was performed by video-assisted cervical mediastinoscopy or video-assisted mediastinoscopic lymphadenectomy in all patients except those with peripheral cT1N0 nonadenocarcinoma tumors. Resection via thoracotomy or video-assisted thoracoscopic surgery was done in patients with no mediastinal lymph node metastasis. Surgical pathological results were compared with the ESTS staging guideline, and the validity of the guideline was tested. Results: In this series, mediastinal lymph node metastasis was revealed preoperatively in 266 patients (46.6%). A total of 305 patients underwent anatomic lung resection. The sensitivity, specificity, positive and negative predictive values, and accuracy of the guidelines were calculated as 95.0%, 100%, 100%, 94.6%, and 97.2%, respectively. Conclusions: The ESTS revised preoperative lymph node staging guidelines for patients with NSCLC seem to be effective and valid, and may provide high survival following resectional surgery.Item What are the considerations in the surgical approach in pulmonary metastasectomy?(Elsevier, 2010-06) Molnar, Tamas F.; Turna, Akif; Gebitekin, Cengiz; Uludağ Üniversitesi/Tıp Fakültesi/Göğüs Cerrahisi Anabilim Dalı.; 6602156436There are four matters of uncertainty considered in this working group report, which are distilled into four clinical questions: (1) What is the evidence for the need for palpation of the lung in modern era of imaging? (2) Is there evidence of a difference in outcome for an open versus a closed approach? (3) Is there evidence of a difference in outcome for an initial policy of bilateral versus unilateral exploration? (4) In patients with known bilateral disease, is there a difference in outcome with a simultaneous versus a staged approach? We searched the literature formally and supplemented this with knowledge from all other sources. We provide evidence tables on the first two questions by relying on a group consensus and frame recommendations for the other two. There are no randomized trials to guide us but there are comparative studies addressing the need for palpation and the need to and open operation in all cases. The evidence is equivocal, and opinions are divided in the literature. Palpation of the lung is still seen as necessary in a therapeutic metastasectomy as opposed to a diagnostic procedure when videothoracoscopy is adequate. However, the importance of palpation becomes less clear with advances in imaging. Routine bilateral exploration for unilateral disease was not favored. For bilateral disease, an initial median sternotomy has a place for some cases but sequenced thoracotomy was preferred.