Transcervical mediastinoscopy in patients with a permanent tracheostomy: is it feasible?

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dc.authoridCelalettin İbrahim Kocatürk / 0000-0001-9368-1009
dc.authorscopusidCelalettin İbrahim Kocatürk / 8535429200
dc.authorwosidCelalettin İbrahim Kocatürk / GDC-5922-2022
dc.contributor.authorCansever, Levent
dc.contributor.authorSeyrek, Yunus
dc.contributor.authorKutluk, Ali Cevat
dc.contributor.authorAkın, Hasan
dc.contributor.authorKocatürk, Celalettin İbrahim
dc.contributor.authorBedirhan, Mehmet Ali
dc.date.accessioned2020-08-30T20:06:28Z
dc.date.available2020-08-30T20:06:28Z
dc.date.issued2019
dc.departmentİstinye Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractOBJECTIVES: Cervical mediastinoscopy may become essential in patients with pathological lymph nodes at mediastinum after laryngectomy. However, having had a previous tracheostomy has been reported to be a contraindication for cervical mediastinoscopy. METHODS: Between January 2010 and December 2017, cervical mediastinoscopy was performed for lung cancer staging in 1985 patients at the Department of Thoracic Surgery, Yedikule Chest Diseases and Thoracic Surgery Education and Research Hospital, Istanbul, Turkey. Eighteen of these patients (1%) had a permanent tracheostomy after total laryngectomy and cervical radiotherapy due to laryngeal carcinoma. RESULTS: Cervical mediastinoscopy was performed in 18 patients with a permanent tracheostomy after total laryngectomy. The negative predictive value of cervical mediastinoscopy was 13/14 (93%). The average operative time was 63min (SD 12.0, range 50-90min). The negative predictive value of endobronchial ultrasonography was 4/7 (57%). Positron emission tomography-computed tomography had a positive predictive value of 3/15 (20%) and a negative predictive value of 2/3 (67%). CONCLUSIONS: Contrary to the claims of 2 textbooks, cervical mediastinoscopy is a viable method for patients with a tracheostomy after laryngectomy. The negative predictive values of standard cervical mediastinoscopy and mediastinoscopy for patients with a tracheostomy after total laryngectomy are approximately equivalent. Our results indicate that cervical mediastinoscopy is a feasible method in patients with a permanent tracheostomy when applied by experienced thoracic surgeons in specialized hospitals.en_US
dc.identifier.citationCansever, L., Seyrek, Y., Kutluk, A. C., Akin, H., Kocaturk, C. I., & Bedirhan, M. A. (2019). Transcervical mediastinoscopy in patients with a permanent tracheostomy: is it feasible? INTERACTIVE CARDIOVASCULAR AND THORACIC SURGERY, 29(5), 737–741. https://doi.org/10.1093/icvts/ivz178en_US
dc.identifier.doi10.1093/icvts/ivz178en_US
dc.identifier.endpage741en_US
dc.identifier.issn1569-9293en_US
dc.identifier.issn1569-9285en_US
dc.identifier.issue5en_US
dc.identifier.pmid31335960en_US
dc.identifier.scopus2-s2.0-85074118264en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage737en_US
dc.identifier.urihttps://doi.org/10.1093/icvts/ivz178
dc.identifier.urihttps://hdl.handle.net/20.500.12713/525
dc.identifier.volume29en_US
dc.identifier.wosWOS:000498167500012en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorKocatürk, Celalettin İbrahimen_US
dc.language.isoenen_US
dc.publisherOxford Univ Pressen_US
dc.relation.ispartofInteractive Cardiovascular and Thoracic Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectCervical Mediastinoscopyen_US
dc.subjectLaryngeal Carcinomaen_US
dc.subjectTracheostomyen_US
dc.subjectRadiotherapyen_US
dc.titleTranscervical mediastinoscopy in patients with a permanent tracheostomy: is it feasible?en_US
dc.typeArticleen_US

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