The importance of intraoperative frozen section examination in thoracic surgery

Objective & Hypothesis:The examination of intraoperative frozen section is a very important method in determination of the extend of procedure which will be performed by the surgeon.

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Key Findings & Data:During the period of 1996-2001 frozen section examination has been applied to 374 case at our clinic.

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Conclusion & Impact:However it directs the surgical procedure so it shortens the hospitalization period by avoiding the patient from a second anesthesical burden.

🔬Design:Research Article

📍Scope:2001 Verileri

⚙️Variables:Tanı teknik ve işlemleri · Toraks cerrahisi · Mediastinoskopi

Abstract

The examination of intraoperative frozen section is a very important method in determination of the extend of procedure which will be performed by the surgeon. We aimed with this study to compare the frozen section indications and frozen section results with definitive histopathologic diagnosis based on postoperative paraphine. During the period of 1996-2001 frozen section examination has been applied to 374 case at our clinic. One-hundred and eight of 374 (28.8%) are female, 266 (71.1%) are male and average age is 49 (1-79) years. The frozen indications were the intraoperative lung mass diagnosis (241 case, 64.4%), determination of N2 through mediastinoscopy (57 case, 15.3%), solitary pulmonary nodule (37 case, 9.8%), mediastinal masses (23 case, 6.2%), pleural thickness (16 case, 4.2%). When frozen section results and definitive histopathologic diagnosis based on postoperative paraphine compared, pos-toperative pathology of 6 cases in which frozen was evaluated as bening, has been reported as malign. Negative error rate is 2.7%, positive error rate is 0.7% (1 case). intraoperative frozen section extends the operation period. However it directs the surgical procedure so it shortens the hospitalization period by avoiding the patient from a second anesthesical burden.

Özet

İntraoperatif "frozen" incelemesi cerraha yapacağı cerrahi işlemin boyutunu belirlemede çok değerli bir yöntemdir. Bu çalışmamızda kliniğimizde "frozen" isteme endikasyonlarını ve "frozen" sonucu ile postoperatif parafine dayalı kesin histopatolojik tanının karşılaştırılmasını amaçladık. Kliniğimizde 1996-2001 yılları arasında 374 olguya İntraoperatif "frozen" incelemesi yapılmıştır. Üçyüzyetmişdört olgunun 108 (%28.8)'i kadın, 266 (%71.1)'sı erkek olup, yaş ortalaması 49 (1-79) yıldır. "Frozen" isteme endikasyonları; akciğer kitlesinin İntraoperatif tanısı (241 olgu, %64.4), mediastinoskopi ile N2 saptanması (57 olgu, %15.3), soliter pulmoner nodul (37 olgu, %9.8 ), mediastinal kitleler (23 olgu, %6.2) ve plevral kalınlaşma (16 olgu, %4.2) idi. "Frozen" sonuçları ile postoperatif parafine dayalı kesin histopatolojik tanı karşılaştırıldığında, "frozen"ın benign olarak değerlendirdiği 6 olgunun postoperatif patolojisi malign olarak raporlandı. "Frozen" incelemesinin yanlış negatiflik oranı %2.7, yanlış pozitiflik oranı %0.7 (1 olgu) olarak tespit edildi. İntraoperatif "frozen" istemi operasyon süresini bir miktar uzatmaktadır. Ancak yapılacak cerrahi girişimi yönlendirmekte, olguyu ikinci bir anestezi yükünden kurtararak hastanede kalış süresini de kısaltmaktadır.

Keywords

Tanı teknik ve işlemleri Toraks cerrahisi Mediastinoskopi Donmuş doku bölümleri Diagnostic Techniques and Procedures Thoracic Surgery Mediastinoscopy Frozen Sections

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Cite This Article

SIRMALI, M., GÜRSU, S., DEMİRAĞ, F., TOPÇU, S., KARASU, S., AYDIN, E., KAYA, S. (2002). The importance of intraoperative frozen section examination in thoracic surgery. Solunum Hastalıkları, Cilt: 13 - Sayı: 4, 292–296. https://ajindex.com/articles/318679

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