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Thoracic Surgery

Thoracic surgery is a branch of surgery that deals with the surgical treatment of tissues and organs within the thoracic cavity, excluding the heart. Tissues and organs within the chest cage, including the heart and blood vessels, fall under the specialization of ‘Cardiovascular Surgery.’

Thoracic surgery focuses on the diseases of the lungs and surrounding structures, treating them through surgical methods.

Lung Cancer Both benign and malignant tumors can occur in the lungs. Unfortunately, malignant tumors, often referred to as ‘Lung Cancer,’ are most commonly associated with smoking. Surgical treatment is particularly successful in early stages of lung cancer. If a tumor is detected early and completely removed through surgery, the patient can be completely cured of cancer. The likelihood of successful treatment increases as the cancer is detected in earlier stages. For 1 cm tumors, this rate is around 90%.

Therefore, to diagnose lung cancer early, it is advisable for anyone over the age of 35, especially smokers, to undergo annual chest X-rays and, if possible, annual chest CT scans after the age of 40. In early-stage lung cancer, if a malignant tumor is completely removed through surgery from cancer-free tissue, there is a chance of a healthy and long life for the patient.

Pleural Mesothelioma Although

It is frequently seen in our country in recent years, this type of cancer, which is among rare tumors, is a malignant tumor originating from the pleura, pericardium, and peritoneum, which are the membranes surrounding the lungs, heart, and abdominal organs, respectively. Often, it arises due to exposure to carcinogenic minerals and is most commonly seen in the pleura.

Tracheal Tumors

Air taken from the mouth or nose reaches the lungs through the trachea. Both benign and malignant tumors can develop in this airway. However, these tumors can sometimes be seen not inside but around the trachea. This situation can compress the trachea from the outside, causing constriction. Tumors in the trachea must be removed with intervention; otherwise, the patient may have difficulty breathing. The removal of the tumor can be performed partially or completely through a bronchoscope or by completely removing the tumorous airway and rejoining the trachea end-to-end. In some cases, it may be necessary to place a stent inside the trachea.

Pulmonary Emphysema

It is the most common cause of shortness of breath, especially due to long-term smoking, and is a chronic obstructive pulmonary disease (COPD) commonly known as “Emphysema.” Drug therapy is the mainstay of treatment for this disease. However, in advanced stages, drug treatment may become less effective. During this period, shortness of breath also rapidly increases and begins to pose a life-threatening risk. Since 1993, a surgery called “Lung Volume Reduction Surgery” has been performed in some centers worldwide, which has not yet completed the research phase, and it can reduce shortness of breath in 80-90% of patients. However, it cannot be performed on every emphysema patient.

Pleural Effusion

Accumulation of fluid in the chest cavity can occur due to many lung and extra-pulmonary diseases. The fluid accumulates in the potential space between two pleural layers, one covering the outer surface and the other covering the inner surface of the lung. It can be seen in many lung diseases such as tuberculosis, lung, and pleural cancer, pneumonia. Surgical treatment is generally performed by draining the fluid through a small tube.

Pleurisy Inflammation

of the lungs and bronchi, problems encountered as a result of the connection of the bronchus with the lung membranes after surgery, or inflammation of the remaining cavity are problems encountered.

Excessive sweating of the hands, feet, armpits, and flushing treatments are more common in the community in adolescence. These symptoms are observed in about 1% of the general population. These symptoms, which can sometimes persist from adolescence to adulthood, can be classified into three groups: mild, moderate, and severe. Individuals with symptoms in these categories sometimes experience social or occupational problems due to their complaints.

These symptoms, which may be due to sympathetic hyperactivity, can be resolved with Video-Thoracoscopic Thoracic Sympathetic Blockades performed by Thoracic Surgery specialists when surgical treatment is needed.

We apply Bilateral ETS to patients requiring surgical treatment. ETS, which was applied separately as right and left in two separate sessions many years ago, is now performed Bilaterally (both sides in the same session) in the same session with the shortening of anesthesia duration and the increase in surgical experiences.

After this surgery, patients can go home after resting for 4-6 hours. Everyone who rests for 2 days after the operation can return to work.

Chest Deformities (Sunken or Protruding Chest Cage)

The chest cage may show some abnormalities, especially in the front-middle part, due to some congenital reasons. The main ones are the sinking of the middle of the chest cage and the protrusion of the chest cage. In both cases, correction can be made through surgical methods.

Chest Traumas

Fractures, bleeding, or organ injuries occurring in the chest due to reasons such as traffic accidents or falls are treated by thoracic surgery.

Diaphragmatic Hernia A problem caused by tears occurring in the membrane that separates the abdominal cavity from the chest cavity as a result of accidents, falls from heights, blows, or congenital reasons; internal organs entering the chest cavity is called diaphragmatic hernia. Its treatment is surgical.

Congenital Anomalies of the Lung As with all organs, some diseases occur in the lungs due to congenital reasons. These diseases are generally caused by some incorrect formations during the development of the baby in the ‘pre-natal period’ in the mother’s womb. These types of conditions generally do not pose a life-threatening risk. However, sometimes discomfort can occur during infancy or adulthood. In these cases, surgical treatment may be required. These types of diseases do not have a specific symptom. However, they can be revealed through advanced investigations conducted by experts in the field during the investigation of a lung disorder.

Pulmonary Hydatid Cyst

It is quite common in our country. It is a disease that can be treated with surgical intervention. It is not malignant. It mostly occurs from parasite eggs found in the fur of cats and dogs that are raised without vaccination and in rural areas. It is not found in urban areas or vaccinated pets.

Closed Lung Surgeries

In this method, surgeries are performed through 1-3 incisions ranging from ½ to 1 cm, with the help of an endoscopic camera and monitor. When applied to suitable cases, this method shortens the hospitalization period, significantly reduces postoperative pain, minimizes the likelihood of complications, and provides a much more satisfying appearance cosmetically due to small incisions.

Many of the surgeries mentioned in this section of thoracic surgery can be performed using closed methods at our hospital.

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