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    Mediastinal cystic lymphangioma: Report of two cases
    (Georg Thieme Verlag, 1997) Topcu, S; Soysal, O; Balkan, E; Yalcinkaya, I; Demircan, S; Gulhan, E
    Cystic lymphangioma is an extremely rare mediastinal benign tumor characterized by congenitally enlarged lymphatic vessels. It is often diagnosed incidentally because it is only symptomatic when it grows to be very large. We present two cases of mediastinal cystic lymphangioma and review the literature.
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    Pleurectomy/decortication for palliation in malignant pleural mesothelioma: Results of surgery
    (Elsevier Science Bv, 1997) Soysal, O; Karaoglanoglu, N; Demircan, S; Topcu, S; Tastepe, I; Kaya, S; Unlu, M
    Objective: Surgery can only offer palliation in an attempt to slow the progression of malignant pleural mesothelioma (MPM), We want to assess the effectiveness and safety of pleurectomy/decortication in establishing a tissue diagnosis, and controlling pleural fluid accumulation and symptoms in patients with MPM. Methods: We reviewed our pleurectomy results in 100 patients with MPM over a 19 year period. Major symptoms were chest pain, cough and dyspnea, and radiographic findings included pleural mass, pleural fluid and constriction of involved hemithorax. Results: Approximately two thirds of the patients underwent underwent subtotal (44%) or total pleurectomy (56%). The surgical mortality rate was 1% (1/100) and the morbidity rate was 22%. Morbidity included prolonged air leak (n = 12), empyema (n = 6), reaccumulation of pleural fluid (n = 2) and wound infection (n = 2). Palliative results included dyspnea and cough relief in all patients, chest pain relief in 60 (85%) and pleural fluid control in 52 (96%) patients. Median survival was 17 months in MPM patients. Conclusions: We conclude that pleurectomy/decortication safely provides both tissue diagnosis and effective control of pleural effusion and symptoms and therefore excellent palliation in patients with MPM. (C) 1997 Elsevier Science B.V.
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    The role of decortication in childhood chronic pleural empyema
    (Monduzzi Editore, 1997) Soysal, O; Tastepe, I; Demircan, S; Topcu, S; Ozdulger, A; Gulhan, E; Bozkurt, D
    To describe the role of decortication and the outcome of the surgical treatment in childhood chronic pleural empyema, the charts of 100 children underwent decortication for the treatment of empyema were reviewed. The preoperative diagnoses were pneumonia in 46 patients, loculated empyema in 26, tuberculous empyema in 11, hydatid cyst in eight. Indications of decortication were severe pleural thickenning in 54 cases, trapped lung in 36 cases, loculated empyema in eight cases and bronchopleural fistula in two cases. Operations performed were decortication in 90 patients and pulmonary resection and decortication in 10. Morbidity occurred in 23 patients and one patient died. Success rates of decortication in the treatment of nonspecific and tuberculous empyema were 96,6% (86/89) and 90,9% (10/11), respectively. Decortication is a well-tolerated and succesfull procedure in childhood chronic pleural empyema.
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    Surgical treatment in nonspecific chronic pleural empyema
    (Monduzzi Editore, 1997) Soysal, O; Topcu, S; Gulhan, E; Tastepe, I; Ozdulger, A; Demircan, S; Balci, D
    The charts of the patients with nonspecific empyema underwent surgery between 1974-1994 were reviewed. Seven hundreds thirty-nine operations were performed in 682 patients. Indications of surgery were pleural thickenning in 423 (57,2%) operations, to close a persistent pleural space in 233 (31,5%), destroyed lung plus empyema in 26 (3,6%) and revision of the first operation in 57 (7,7%). Operations performed were decortication in 412 (55,8%), thoracomyoplasty in 287 (38,8%), decortication and pulmonary resection in 26 (3,6%), decortication and thoracomyoplasty in 11 (1,5%) and Eloesser flap in three operations. Postoperative hospital stay was 23 days median. Overall morbidity and mortality rates were 22,5% and 7,2%, respectively. Timing of surgery, selection of the correct surgical procedure and preoperative medical control of the pulmonary disease are important points of the success of the surgical treatment of empyema. Morbidity and mortality rates are acceptable.