The cystic leþions of mediastinum and lung parenchyma are mostly acquired, and a small number is congenital. The bronchogenic cyst which is one of the congenital lung cysts, is frequently seen in children and adolescents. Bronchogenic cysts are 10-15% of primary mediastinal masses and mostly asymptomatic.ln âdequate lesions with mediastinal cystic leþions, cyst excision by VATS should be preferred instead of thorocotomy if complete resection can be done. We wanted to discuss the effectivity Of VATS Ýn a case in which we excissed.

It is stated that in 40 — 60 % of children with a unilateral inguinal hernia, a contralateral patent processus vaginalis (CPPV) is present during routine bilateral exploration. Other series report a 10 — 40 % return for a contralateral hernia repair when unexplored. Introduction of fine laparoscopic instruments suitable for infants and children has popularized the technique among pediatric surgeons. Our aim is to evaluate the presence of CPPV in children with a unilateral inguinal hernia by means Of diagnostic laparoscopy. In a prospective study we evaluated and treated 36 consecutive cases for a known inguinal hernia. Four patients with bilateral hernias and an additional four with complicated clinical situations or due to technical difficulties did not undergo laparoscopic evaluation. Following preparation of the ipsilateral hernia sac and cannulation, the abdomen was insufflated up to 10 mmHg. Contralateral inguinal region was manually examined for a suspect PPV. A diagnostic laparoscopy was performed via hernia sac using a 45-degree, 5-mm telescope. We found a CPPV in eight (29%) of the 28 cases. Children under one year Of age showed a 40% incidence, where those over One year showed a 22% incidence of CPPV. 25% of the cases with a right inguinal hernia and 33% of the cases with a left inguinal hernia had a CPPV. We found that insufflation is unreliable in determining the presence Of CPPV manually. We believe that diagnostic laparoscopy is an easy and cost effective procedure in determining the presence Of a CPPV. It decreases both the risk and cost Of a second operation and avoids injury of the cord in an unnecessary exploration.

Laparoscopic surgery is a safe method in the diagnosÝs and treatment Of benign adnexal masses. The better postoperative tolerance and the, shorter hospital stay gradually make the laparoscopic surgery the preferred method in the treatment of adnexal masses. Although the malignant tumors also may be managed laparoscopically, still the classical approach is to apply this kind of surgery for the treatment of benign ovarian lesions. This condition makes the preoperative evaluation of the patient extremely important.ln this article we presented a case with high CA 125 plasma levels and an adnexal mass with heterogenous echos on transvaginal ultrasound and tried to discuss the approach and the algorythm of management of this kind of patients.

INTRODUCTION: To research the survey and metastasis in port site in patients in whom gallbladder cancer was diagnosed after laparoscopic cholecystectomy.
METHODS: Of the 4391 laparoscopic choleccystectomy patients (0,18%) gallbladder cancer was diagnosed by the post operative histopathological investigation,were analysed on behalf of metastases in port site and survey.
RESULTS: In eight laparoscopic cholecystectomy patients (O,18 %) gallbladder cancer was diagnosed which was not being known before or during the operation. In four Of the seven followed patients pathological grade was pT2 and in three was pT3. In one patient (14,7 To) port site metastasis was developed two months after laparoscopic cholecystectomy. Mean surveillance time was 30 months.
DISCUSSION AND CONCLUSION: The tendecy for the treatment of patients whose gallbladder cancer was diagnosed after laparoscopic cholecystectomy depends on the choice of the surgeon. More reports are needed for this problem to be solved.

INTRODUCTION: Evaluation Of techniqual properties and outcomes of laparoscopic ventral hernia repair.
METHODS: Laparoscopic repair Was applied to 22 ventral hernia cases in Istanbul University, Cerrahpa¥a Medie-al Faculty, Department Of General Surgery, section of Gürkan C between January 1998-January 2000.
RESULTS: : Total number of cases Were 22. There were I I umblical hernia cases with three recurrences, 10 incisiOnal hernias and one epigastric hernia. Six of the incisional hernia cases were originated from Phannenstiel incision, one from distal part of the upper midline incision, one from proximal part of lower midline incision and two of the cases originated from right transrectal incisions. Nineteen Of the cases were female and three Of them were male. The youngest case Was 37 years Old and the oldest was 70 years old with the mean age of the series as 53.95±2.03 years. In two of the cases polytetrafloroetylene mesh of the appropriate size was used for repair of the hernia and polipropilene mesh was used in the remaining cases. Six of the cases were discharged from the hospital in the first postoperative day and the others were discharged in the second postoperative day. In a case of recurrent umblical hernia, seroma around the umblicus was detected in the early postoperative period. Cases were followed up between 6-12 month with a mean of 9.14 ± 0.54 months by regular follow-ups at 1st, 3rd, 6th and 12th months. No recurrence was observed during the follow up period.
DISCUSSION AND CONCLUSION: Laparoscopic ventral hernia repair with mesh application is a preferable and safe tecnique in selected cases with advantages of 0% mortality rate, 4.54% morbidity rate (1 / 22), shorter hospital stay, satisfactory cosmetic results and rapid return to daily activities.

INTRODUCTION:
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DISCUSSION AND CONCLUSION: