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Journals / İstanbul Medical Journal / 2022 / Cilt: 23 - Sayı: 2

The Diagnostic Efficiency of the Use of Non-Standard Surgical Instruments in Mediastinoscopy

Levent CANSEVER
Mehmet Ali BEDİRHAN
Yunus SEYREK
Kemal KARAPINAR
Cemal AKER
Merve ÖZBEK
Ali Murat AKÇIL
Pages
96–101
Publication Date
2022-10-19
DOI
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Results: The use of NSSI was found to be statistically significantly higher in patients with previous EBUS-TBNA (p=0.013), in operations in which a single mediastinal station was sampled (p=0.004), and in cases where the pathological diagnosis was tuberculosis (TB) (p

📌 3 Key Takeaways

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Objective & Hypothesis:Introduction: Mediastinoscopy is an effective diagnostic method used in the diagnosing of benign granulomatous diseases and for lung cancer staging.
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Key Findings & Data:Methods: One hundred and seven patients who underwent mediastinoscopy were divided into two groups according to the use of SSI (n=89) and NSSI (n=18).
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Conclusion & Impact:Results: The use of NSSI was found to be statistically significantly higher in patients with previous EBUS-TBNA (p=0.013), in operations in which a single mediastinal station was sampled (p=0.004), and in cases where the pathological diagnosis was tuberculosis (TB) (p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Introduction: Mediastinoscopy is an effective diagnostic method used in the diagnosing of benign granulomatous diseases and for lung cancer staging. However, the success of this method is directly proportional to the amount of pathological material taken. This study aimed to compare the diagnostic efficiency of the diagnostic superiority of the use of standard surgical instruments (SSI) and non-standard surgical instruments (NSSI) in mediastinoscopy in patients with mediastinal lymph nodes, which are thought to be pathological, according to different diseases. Methods: One hundred and seven patients who underwent mediastinoscopy were divided into two groups according to the use of SSI (n=89) and NSSI (n=18). Analysis was made of age, gender, pre-diagnosis, fluorodeoxyglucose-positron emission tomography and substance uptake values of the groups, pathology if endobronchial ultrasound-transbronchial needle aspiration (EBUS-TBNA) had been performed, operation notes (use of video mediastinoscope, use of SSI or NSSI, sampled mediastinal lymph node stations), complications and pathology results analyzed. Results: The use of NSSI was found to be statistically significantly higher in patients with previous EBUS-TBNA (p=0.013), in operations in which a single mediastinal station was sampled (p=0.004), and in cases where the pathological diagnosis was tuberculosis (TB) (p

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Cite This Article

CANSEVER, L., BEDİRHAN, M. A., SEYREK, Y., KARAPINAR, K., AKER, C., ÖZBEK, M., AKÇIL, A. M. (2022). The Diagnostic Efficiency of the Use of Non-Standard Surgical Instruments in Mediastinoscopy. İstanbul Medical Journal, Cilt: 23 - Sayı: 2, 96–101. https://ajindex.com/articles/551743

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