Hakan Keskin

Akdeniz University · Section for Thoracic Surgery

The aim of this study is to determine treatment and management challenges associated with the rarely seen solitary fibrous tumor of the pleura. The patient files of five cases diagnosed with a solitary fibrous tumor of the pleura in our clinic between 2010 and 2015 were retrospectively analyzed. Mean age was 56.2 (range 40-66). Two cases presented...

Background: Hemangiomas, which are benign vascular tumors occurring throughout the body and most commonly in the liver, are extremely rare in the posterior mediastinum. There are fewer than 25 cases reported in the English literature. While most patients are asymptomatic, some may present with symptoms related to compression of surrounding tissues....

Parathyroid cysts are extremely rare cystic formations in the mediastinum. Since the first described case, there have been approximately 150 cases reported in the English literature. Patients often present with symptoms related to compression of the adjacent tissues, while only 20 to 40% of cases have an evidence of hyperparathyroidism. For prelimi...

Parathyroid cyst A rare benign mediastinal cyst

Objective: Investigating the effects of the preoperative short term intensive pulmonary rehabilitation program applied for patients who have undergone lung resection by thoracotomy, on lung functions, complication rates and length of hospital stay during the postoperative period. Methods: A prospective randomized trial of sixty patients were enr...

Introduction: Pulmonary large cell neuroendocrine carcinomas (LCNEC) are one of the rare malignant neoplasms of the lung. A standard management model for LCNEC has not yet been established and the poor prognostic factors and treatment modalities are still uncertain. Aim: LCNEC are fairly rare and have a poor prognosis. Determination of the risk...

Introduction: Pulmonary aspergilloma (PA) is a chronic lung infection. Lobectomy is the recommended surgical modality. However, recent studies have suggested that wedge resection may be better than lobectomy. Aim: We compared short-term complications and mortality according to surgical methods in pulmonary aspergilloma. Material and methods: I...

The aim of study is to investigate the effects of active external warming of patient concurrently with application of ice to incision site on thoracotomy pain and analgesic consumption. The research is a quasi-experimental design with control and study groups. The study was conducted in 2018 and 2019. A total of 70 patients were included in the stu...

KEY WORDS: hyperhidrosis, sympathectomy, video-assisted thoracic surgery Objective: To compare single-port and two-port video-assisted thoracoscopic sympathectomies for treatment of hyperhidrosis in terms of postoperative complications and patient satisfaction. Design: Cross-sectional survey design with telephone interviews Setting: Multispecialty...

Introduction: Pneumomediastinum (PM) is a self-limiting disease with a good prognosis. Mediastinitis is a rare but potentially fatal complication of PM. Identification of risk factors for mediastinitis is essential for better management. Methods: This is a single-center, retrospective study conducted in a university hospital. Adult patients with P...

Background: Wedge resection and enucleation are the most commonly preferred surgical modalities for the treatment of pulmonary hamartomas. There is a concern about the safety and efficacy of enucleation for a pulmonary hamartoma. Aim of the study: To compare wedge resection and enucleation for the surgical treatment of pulmonary hamartomas. Materia...

Background: This study aims to investigate the prognostic factors affecting survival in patients undergoing surgical treatment for esophageal cancer. Methods: A total of 50 patients (33 males, 17 females; mean age: 57.8±11.8 years; range, 28 to 80 years) who underwent esophagectomy for esophageal cancer in our clinic between January 2008 and March...

Objective: Objective: Increased complication risk of surgical interventions performed in patients with hemoptysis is a common concern among surgeons. Therefore, here, we investigated the surgical outcomes of tuberculosis patients with hemoptysis. Methods: Patients, between 1985 and 2018, diagnosed with tuberculosis surgically, were analyzed retrosp...

Background: The aim of this study was to investigate the effect of bronchiectasis operation on anxiety and depression. Methods: Between August 2014 and March 2019, a total of 167 patients with bronchiectasis (107 males, 60 females; mean age: 43.5±13.9 years; range, 18 to 84 years) who received medical (n=70) and surgical (n=97) treatment were retro...

Proteus sendromu (PS), Cohen ve Hayden tarafından tanımlanan ve vücutta asimetrik ve aşırı doku büyümesi ile karakterize nadir görülen konjenital bir hastalıktır (1). Bu olgularda ilerleyici iskelet deformiteleri, tümörler, vasküler malformasyonlar, büllöz akciğer hastalığı ve deri lezyonları gibi farklı patolojiler görülebilir. Kardiyak tutulumu i...

This study compares the two most frequently used methods, combined positron emission tomography-computed tomography (PET/CT) and mediastinoscopy, in detecting mediastinal lymph node metastases. It has been investigated whether PET/CT can be used as an alternative method to mediastinoscopy which is considered the gold standard in detecting mediastin...

Schwannomas, one of the most common peripheral nerve sheath tumors are well-circumscribed, rigid, encapsulated and slow growing benign tumors. Treatment is total excision of the tumor. In this case report, we present a very rare case of paraspinal schwannoma in a 32-year-old female patient with the aim of reminding that schwannomas can be seen all...

Soliter fibröz tümörler sıklıkla plevradan köken alan ender neoplazmlardır. Ekstremiteler, baş ve boyun bölgesi, torasik duvar, mediastinum, perikard gibi ekstraplevral bölgede de görülebilir. Soliter fibröz tümörün toraks duvarında saptanması son derece enderdir. Ağrısız kitleler olması nedeniyle ihmal edildiğinde dev boyutlara ulaşabilen bu tümör...

Amaç: Diffüz pulmoner ossifikasyon, akciğer parankiminde metaplastik ossifikasyon ile karakterize, nadir görülen kronik progresif bir hastalıktır. Nodüler ve dendriform olmak üzere iki formu vardır. Olgu: Olgumuz 73 yaşında, erkek hasta olup nefes darlığı şikayeti ile başvurmuştur. Toraks bilgisayarlı tomografide bilateral alt loblarda, solda daha...

INTRODUCTION: Postoperative pain is a condition that patients frequently complain about all over the world. The aim of this study was to investigate the effect of pain training before elective thoracotomy on postoperative pain levels in patients. METHODS: 100 patients who underwent thoracotomy for any reason were included in the study. Patients wer...

Z Hibernoma, fetal kahverengi yağdan köken alan nadir bir tümördür. Mediasten, hibernom için oldukça nadir bir yerleşimdir. Bu yazıda, plöretik tarzda göğüs ağrısı şikayeti olan 46 yaşında bir erkek hastanın, klinik ve radyolojik bulguları sunuldu. Anah tar söz cük ler: Hibernoma, mediasten, nadir, tümör. ABSTRACT Hibernoma is a rare tumor originat...

Giriş Uyku düzenli ve tekrarlayan periyodlardan oluşan fizyolojik bir gereksinimdir. Yoğun bakım ünitelerinde cihazlardan, sağlık çalışanlarının konuşmalarından kaynaklanan gürültü, ısı, sürekli aydınlatma, bakım ve tedavi Girişimleri hastanın uyku döngüsünün bozulmasına neden olmaktadır. Yöntem Araştırma göğüs cerrahi yoğun bakım ünitesinde hastal...

ABSTRACT Primary pulmonary sarcomas of the lung are rare tumors with a low incidence. We reviewed the literature and analyzed 5 patients retrospectively. All clinical datas and therapeutic protocols were recorded. The required surgical procedure was lobectomy in 4 patients and diagnostic broncoscopy and mediastinoscopy in one patient. At histologic...

Primary pulmonary malignant melanoma is an extremely rare tumor, and its diagnosis is just as difficult to clinically verify. Since malignant melanomas can metastasize even after many years, detailed past medical history and thorough physical examination of the patient are imperative in verifying the diagnosis. In this article, where we present a c...

AMAÇ: Bu çalışmamızdaki amacımız Elastofibroma Dorsi tanısı ile opere edilen hastaların verilerini literatür eşliğinde retrospektif olarak inceleyerek elde edilen klinik sonuçları sunmaktır. Ayrıca Elastofibroma Dorsi için tanı ve tedavi algoritması önermektir. MATERYAL VE METOD: Bu çalışmada kliniğimizde Ocak 2010- Ağustos 2017 yılları arasında pa...

Objective: Pulmonary carcinoid tumors are malignant neoplasms originating from Kultschitzky cells of the neuroendocrine type in the lungs and constituting only 1-2% of all lung tumors. The clinical features, treatment protocols and prognostic factors of lung carcinoid tumors were evaluated in this study. Material and Methods: This retrospective stu...

ABSTRACT Objective: We aimed to evaluate the rare tumors of the lung in a single article in this study. Thus, these cases, which were included in the literature as case reports, were collected under a single article. Material and Methods: In this retrospective study 6879 patients who were operated between January 2010 and December 2017 in our clini...

Amaç: Bu çalışmada, akciğerin nadir görülen tümörlerinin birlikte değerlendirilmesi amaçlandı. Böylelikle olgu sunumları şeklinde literatürde yer alan bu olgular tek bir yazı altında toplanmaya çalışıldı. Gereç ve Yöntemler: Bu geriye dönük çalışmaya kliniğimizde Ocak 2010 ile Aralık 2017 tarihleri arasında opere edilen 6879 hasta dahil edildi. His...

ABSTRACT Objective: Pulmonary carcinoid tumors are malignant neoplasms originating from Kultschitzky cells of the neuroendocrine type in the lungs and constituting only 1-2% of all lung tumors. The clinical features, treatment protocols and prognostic factors of lung carcinoid tumors were evaluated in this study. Material and Methods: This retrospe...

Objective: Single lung ventilation is a method often applied with double-lumen tubes in anesthesia during lobectomy in thoracic surgery. Isolation of the lungs reduces morbidity and mortality while increasing the fi eld of vision and the quality of surgery. While questioning the suffi ciency of preoperative preparations in determining the prognosis...

Removal of the stabilizer during Nuss operation.

A fifty-eight-year-old female patient was referred to our clinic with left-sided arm and shoulder pain. Upon radiological investigation, a mass in the apical segment of the left upper lobe causing vertebra destruction was detected. The patient was operated on with a working diagnosis of a Pancoast tumor. However, during the operation the lesion was...

Objective: In our study, we reviewed the survival of patients operated for non-small cell lung cancer (NSCLC) and had positive inferior mediastinal lymph nodes that couldn't be staged with mediastinoscopy prior to surgery in comparison to other mediastinal lymph node involvement, the localization of tumors that metastasize to inferior mediastinal l...

The aim of this study was to investigate the efficacy of the fibrin tissue patch and to analyze its use in patients with esophageal perforation. We studied 28 patients who were diagnosed with esophageal perforation between January 1990 and January 2006 at Akdeniz University Hospital. Sixteen (57.14%) were male. The average age was 59 +/- 9 years. W...