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Öğe Results of Mini Axillary Thoracotomy for Primary Spontaneous Pneumothorax(Derman Medical Publ, 2011) Yanik, Fazli; Karamustafaoglu, Yekta Altemur; Kuzucuoglu, Mustafa; Mammedov, Rustem; Yoruk, YenerAim Pneumothorax knows a common clinical problem. Mini axillary thoracotomy major indication is pneumothorax surgery, allowing easily apical resection and pleurectomy with excellent longterm results. Herein, we describe our experience with the axillary thoracotomy for the treatment of pneumothorax. Material and Methods A total of 56 cases underwent mini axillary thoracotomy with the diagnosis of primary spontaneous pneumothorax in our department between 19962008. Fifty four of the cases were males (96.5%) and two (3.5%) were females with a mean age of 28.2 (17- 43). Twenty- nine cases (51.7%) had right pneumothorax and 27 (48.3%) left pneumothorax. Results We performed apical wedge resection and apical pleurectomy in 33 cases (59%), bullae ligation and apical pleurectomy in 23 cases (41%). Four patients developped morbidity. There was no mortality. Median hospital stay was 4.5 day (3- 8). During 13 years follow up recurrens was not detected. Conclusions A mini axillary thoracotomy was short hospital stay, cosmetically acceptable was not recurrence. A mini axillary thoracotomy is a good choice when a spontaneous pneumothorax requires surgery due to excellent results for the patient.Öğe Video-thoracoscopic sympathectomy by use of a transaxillary single-port approach(Ekin Tibbi Yayincilik Ltd Sti-Ekin Medical Publ, 2011) Kuzucuoglu, Mustafa; Karamustafaoglu, Yekta Altemur; Tarladacalisir, Taner; Mammedov, Rustem; Yoruk, YenerBackground: In this prospective study, we evaluated the outcome and the value of sympathectomy by the use of a transaxillary single-port thoracic approach in a consecutive series of patients with palmar and/or axillary hyperhidrosis. Methods: Between June 2007 and June 2009, a total of 28 patients (14 males, 14 females; mean age 23.4 years; range 13 to 36 years) admitted to our clinic with palmar and/or axillary hyperhidrosis underwent uniport video-assisted thoracoscopic sympathetic chain electrocauterization of the T2 and T4 ganglia at our clinic. There were both palmar and axillary hyperhidrozis in 14 cases (50%) and only palmar hyperhidrosis in 14 cases (50%). Results: Surgical complications were minimal and only one patient developed effusion. There were no deaths. Improvement in axillary and palmar hyperhidrosis was observed in all patients. Conclusion: Single-port thoracoscopic electrocauterization of the sympathetic nerves from T2 to T4 provides excellent cosmetic and functional outcomes, with best results in patients with hyperhidrosis.