{"id":8626,"date":"2025-02-22T12:05:45","date_gmt":"2025-02-22T10:05:45","guid":{"rendered":"https:\/\/thorax.gr\/el\/?p=8626"},"modified":"2025-02-22T12:05:45","modified_gmt":"2025-02-22T10:05:45","slug":"%ce%bf%ce%b9-%cf%83%cf%85%ce%bd%ce%b7%ce%b8%ce%b5%cf%83%cf%84%ce%b5%cf%81%ce%b5%cf%83-%ce%b8%cf%89%cf%81%ce%b1%ce%ba%ce%b9%ce%ba%ce%b5%cf%83-%cf%80%ce%b1%ce%b8%ce%b7%cf%83%ce%b5%ce%b9%cf%83-%cf%80","status":"publish","type":"post","link":"https:\/\/thorax.gr\/tr\/%ce%bf%ce%b9-%cf%83%cf%85%ce%bd%ce%b7%ce%b8%ce%b5%cf%83%cf%84%ce%b5%cf%81%ce%b5%cf%83-%ce%b8%cf%89%cf%81%ce%b1%ce%ba%ce%b9%ce%ba%ce%b5%cf%83-%cf%80%ce%b1%ce%b8%ce%b7%cf%83%ce%b5%ce%b9%cf%83-%cf%80\/","title":{"rendered":"M\u00dcDAHALE GEREKT\u0130REN EN YAYGIN G\u00d6\u011e\u00dcS HASTALIKLARI"},"content":{"rendered":"<p>G\u00f6\u011f\u00fcs cerrahisi g\u00f6\u011f\u00fcs, akci\u011fer, yemek borusu, diyafram ve mediasteni etkileyen hastal\u0131klar\u0131n tan\u0131s\u0131 ve cerrahi tedavisi ile ilgilenir. G\u00f6\u011f\u00fcs rahats\u0131zl\u0131klar\u0131n\u0131n bir\u00e7o\u011fu konservatif y\u00f6ntemlerle tedavi edilebilmesine ra\u011fmen, hastan\u0131n sa\u011fl\u0131\u011f\u0131na kavu\u015fmas\u0131 i\u00e7in cerrahi m\u00fcdahalenin gerekli oldu\u011fu durumlar da vard\u0131r.<\/p>\n<h3><strong>1. Akci\u011fer Kanseri<\/strong><\/h3>\n<p>Akci\u011fer kanseri g\u00f6\u011f\u00fcs hastal\u0131klar\u0131n\u0131n en ciddilerinden biridir ve s\u0131kl\u0131kla cerrahi tedavi gerektirir. Hastal\u0131\u011f\u0131n evresine ve kanser t\u00fcr\u00fcne ba\u011fl\u0131 olarak ba\u015fl\u0131ca cerrahi i\u015flemler \u015funlard\u0131r:<\/p>\n<ul>\n<li><strong>Lobektomi<\/strong>: Akci\u011fer lobunun \u00e7\u0131kar\u0131lmas\u0131.<\/li>\n<li><strong>Pn\u00f6monektomi<\/strong>: Akci\u011ferin tamam\u0131n\u0131n \u00e7\u0131kar\u0131lmas\u0131.<\/li>\n<li><strong>Segmentektomi<\/strong>:Sadece akci\u011ferin etkilenen k\u0131sm\u0131n\u0131n \u00e7\u0131kar\u0131lmas\u0131.<br \/>\nBu i\u015flemler ya geleneksel torakotomi ile ya da minimal invaziv y\u00f6ntemlerle ger\u00e7ekle\u015ftirilir, \u00f6rne\u011fin: <strong>robotik cerrahi<\/strong> ve <strong>torakoskopik cerrahi (VATS)<\/strong>Daha h\u0131zl\u0131 iyile\u015fme ve daha az komplikasyon sa\u011flayan.<\/li>\n<\/ul>\n<p>\u00a0<\/p>\n<h3><strong>2. Pn\u00f6motoraks<\/strong><\/h3>\n<p>Pn\u00f6motoraks, plevra bo\u015flu\u011funa hava girmesiyle olu\u015fur ve akci\u011ferin \u00e7\u00f6kmesine neden olur. Tekrarlayan veya \u015fiddetli vakalarda cerrahi tedavi \u015funlar\u0131 i\u00e7erir:<\/p>\n<ul>\n<li><strong>Plevral ef\u00fczyon<\/strong> (Pl\u00f6rodezis): Plevrada yap\u0131\u015f\u0131kl\u0131klar olu\u015fturarak hava birikmesini \u00f6nleyen i\u015flem.<\/li>\n<li><strong>Torakoskopik kabarc\u0131k \u00e7\u0131karma<\/strong> (b\u00fclektomi): Pn\u00f6motoraksa neden olan akci\u011ferdeki patolojik alanlar\u0131n \u00e7\u0131kar\u0131lmas\u0131.<\/li>\n<\/ul>\n<p>\u00a0<\/p>\n<h3><strong>3. Plevral Koleksiyon<\/strong><\/h3>\n<p>Plevral bo\u015flukta s\u0131v\u0131 bulunmas\u0131 enfeksiyonlardan, malignitelerden veya kalp yetmezli\u011finden kaynaklanabilir. Koleksiyon b\u00fcy\u00fckse veya tekrar ediyorsa, \u015funlar\u0131 yapmak gerekebilir:<\/p>\n<ul>\n<li><strong>Torasentez veya g\u00f6\u011f\u00fcs drenaj\u0131<\/strong><\/li>\n<li><strong>Plevral ef\u00fczyon<\/strong> tekrarlayan vakalarda<\/li>\n<li><strong>Plevran\u0131n cerrahi olarak \u00e7\u0131kar\u0131lmas\u0131 (dekortikasyon)<\/strong> kal\u0131n s\u0131v\u0131 veya ampiyem vakalar\u0131nda<\/li>\n<\/ul>\n<p>\u00a0<\/p>\n<h3><strong>4. Yemek Borusu Kanseri<\/strong><\/h3>\n<p>Yemek borusu kanseri, etkilenen k\u0131sm\u0131n cerrahi olarak \u00e7\u0131kar\u0131lmas\u0131n\u0131 gerektiren ciddi bir k\u00f6t\u00fc huylu t\u00fcm\u00f6rd\u00fcr. <strong>\u00f6zofajektomi<\/strong>. \u0130\u015flem \u015fu \u015fekilde yap\u0131labilir: <strong>robotik veya torakoskopik yakla\u015f\u0131m<\/strong>, daha iyi iyile\u015fmeye ve daha az komplikasyona olanak sa\u011flar.<\/p>\n<h3><strong>5. Hiatal Herni ve Diyafram Hastal\u0131klar\u0131<\/strong><\/h3>\n<p>Hiatal herni, midenin diyaframdan g\u00f6\u011f\u00fcs bo\u015flu\u011funa do\u011fru hareket etmesiyle olu\u015fur ve gastro\u00f6zofageal refl\u00fc gibi semptomlara neden olur. Cerrahi onar\u0131m \u015funlar\u0131 i\u00e7erir: <strong>septoplasti<\/strong>, yap\u0131labilir <strong>laparoskopik veya robotik<\/strong>.<\/p>\n<p>VEYA <strong>hemi-diyafram y\u00fckselmesi<\/strong> \u015eiddetli solunum s\u0131k\u0131nt\u0131s\u0131na yol a\u00e7t\u0131\u011f\u0131nda cerrahi onar\u0131m da gerekebilir.<\/p>\n<h3><strong>6. Timomalar ve Mediastinal T\u00fcm\u00f6rler<\/strong><\/h3>\n<p>Timoma gibi mediastinal t\u00fcm\u00f6rler iyi huylu veya k\u00f6t\u00fc huylu olabilir. Boyutlar\u0131na ve yerlerine ba\u011fl\u0131 olarak cerrahi olarak \u00e7\u0131karma i\u015flemi \u015fu \u015fekilde yap\u0131labilir: <strong>torakoskopik veya robotik cerrahi<\/strong>, travmay\u0131 ve hastanede kal\u0131\u015f s\u00fcresini azalt\u0131r.<\/p>\n<h3><strong>7. Torasik Yaralanmalar ve Travmalar<\/strong><\/h3>\n<p>Kaburga k\u0131r\u0131klar\u0131, hemotoraks ve akci\u011fer yaralanmalar\u0131 acil cerrahi onar\u0131m gerektirebilir, \u00f6rne\u011fin:<\/p>\n<ul>\n<li><strong>G\u00f6\u011f\u00fcs drenaj\u0131<\/strong> kan alma ama\u00e7l\u0131.<\/li>\n<li><strong>Kaburgalar\u0131n cerrahi olarak sabitlenmesi<\/strong> Ciddi k\u0131r\u0131klar durumunda.<\/li>\n<li><strong>Yaral\u0131 pulmoner veya vask\u00fcler yap\u0131lar\u0131 onarmak i\u00e7in torakotomi<\/strong>.<\/li>\n<\/ul>\n<p>\u00a0<\/p>\n<h3><strong>8. Hiperhidroz<\/strong><\/h3>\n<p>Ellerde veya koltuk altlar\u0131nda \u015fiddetli hiperhidroz \u015fu \u015fekilde tedavi edilebilir: <strong>torakoskopik sempatektomi<\/strong>, terlemeyi kontrol eden sempatik sinirleri kesintiye u\u011fratan bir i\u015flemdir.<\/p>\n<h3><strong>G\u00f6\u011f\u00fcs Cerrahisinde Robotik Cerrahinin Rol\u00fc<\/strong><\/h3>\n<p>Robotik cerrahi, g\u00f6\u011f\u00fcs cerrahisinde devrim yaratarak karma\u015f\u0131k prosed\u00fcrlerin ger\u00e7ekle\u015ftirilmesine olanak tan\u0131m\u0131\u015ft\u0131r. <strong>daha fazla do\u011fruluk, daha az kanama ve daha h\u0131zl\u0131 iyile\u015fme<\/strong>. Akci\u011fer kanseri, \u00f6zofagektomi, mediastinal t\u00fcm\u00f6rler ve diyafram hastal\u0131klar\u0131n\u0131n onar\u0131m\u0131nda yayg\u0131n olarak kullan\u0131lmaktad\u0131r.<\/p>\n<h3><strong>\u00c7\u00f6z\u00fcm<\/strong><\/h3>\n<p>Cerrahi tedavi gerektiren torasik hastal\u0131klar; malignitelerden travmalara, diyafram ve plevra bo\u015fluklar\u0131n\u0131n fonksiyonel bozukluklar\u0131na kadar \u00e7ok say\u0131da ve \u00e7e\u015fitlidir. Geli\u015fmi\u015f teknikler, \u00f6rne\u011fin: <strong>robotik ve torakoskopik cerrahi<\/strong>, art\u0131k daha g\u00fcvenli ve etkili m\u00fcdahalelere olanak sa\u011fl\u0131yor, hastalar\u0131n ya\u015fam kalitesini art\u0131r\u0131yor. Nefes darl\u0131\u011f\u0131, kronik \u00f6ks\u00fcr\u00fck, g\u00f6\u011f\u00fcs a\u011fr\u0131s\u0131 gibi belirtiler ya\u015f\u0131yorsan\u0131z erken tan\u0131 ve uzman bir g\u00f6\u011f\u00fcs cerrahisi uzman\u0131 taraf\u0131ndan de\u011ferlendirilmeniz hayati \u00f6nem ta\u015f\u0131r.<\/p>\n<p>\u00a0<\/p>","protected":false},"excerpt":{"rendered":"<p>G\u00f6\u011f\u00fcs cerrahisi g\u00f6\u011f\u00fcs, akci\u011fer, yemek borusu, diyafram ve mediasteni etkileyen hastal\u0131klar\u0131n tan\u0131s\u0131 ve cerrahi tedavisi ile ilgilenir. G\u00f6\u011f\u00fcs rahats\u0131zl\u0131klar\u0131n\u0131n bir\u00e7o\u011fu konservatif y\u00f6ntemlerle tedavi edilebilmesine ra\u011fmen, hastan\u0131n sa\u011fl\u0131\u011f\u0131na kavu\u015fmas\u0131 i\u00e7in cerrahi m\u00fcdahalenin gerekli oldu\u011fu durumlar da vard\u0131r. 1. Akci\u011fer Kanseri Akci\u011fer kanseri, g\u00f6\u011f\u00fcs hastal\u0131klar\u0131n\u0131n en ciddilerinden biridir ve s\u0131kl\u0131kla cerrahi tedavi gerektirir. Hastal\u0131\u011f\u0131n evresine ve kanser t\u00fcr\u00fcne ba\u011fl\u0131 olarak ba\u015fl\u0131ca cerrahi i\u015flemler \u015funlard\u0131r: Lobektomi: Akci\u011ferin bir lobunun \u00e7\u0131kar\u0131lmas\u0131. Pn\u00f6monektomi: Akci\u011ferin tamam\u0131n\u0131n \u00e7\u0131kar\u0131lmas\u0131. Segmentektomi: Sadece [\u2026]&#039;nin \u00e7\u0131kar\u0131lmas\u0131<\/p>","protected":false},"author":12,"featured_media":8625,"comment_status":"closed","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[467],"tags":[431,434,278,468,469,396,411,470,437],"class_list":["post-8626","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-467","tag-431","tag-434","tag-278","tag-468","tag-469","tag-pneymothorakas","tag-411","tag-470","tag-437"],"_links":{"self":[{"href":"https:\/\/thorax.gr\/tr\/wp-json\/wp\/v2\/posts\/8626","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/thorax.gr\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/thorax.gr\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/thorax.gr\/tr\/wp-json\/wp\/v2\/users\/12"}],"replies":[{"embeddable":true,"href":"https:\/\/thorax.gr\/tr\/wp-json\/wp\/v2\/comments?post=8626"}],"version-history":[{"count":1,"href":"https:\/\/thorax.gr\/tr\/wp-json\/wp\/v2\/posts\/8626\/revisions"}],"predecessor-version":[{"id":8627,"href":"https:\/\/thorax.gr\/tr\/wp-json\/wp\/v2\/posts\/8626\/revisions\/8627"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/thorax.gr\/tr\/wp-json\/wp\/v2\/media\/8625"}],"wp:attachment":[{"href":"https:\/\/thorax.gr\/tr\/wp-json\/wp\/v2\/media?parent=8626"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/thorax.gr\/tr\/wp-json\/wp\/v2\/categories?post=8626"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/thorax.gr\/tr\/wp-json\/wp\/v2\/tags?post=8626"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}