Günümüzde Laparoskopik Otopsinin Yeri
DOI:
https://doi.org/10.17986/blm.2007121632Anahtar Kelimeler:
laparoskopik- endoskopik- torakoskopik- minimal invaziv- otopsiÖz
Minimal invaziv cerrahi tekniklerin cerrahinin bütün alanlarında yaygınlaşmasını takiben geleneksel postmortem inceleme yöntemlerine alternatif olarak laparoskopik ve torakoskopik otopsilerle ilgili çalışmalar da, 1990’lardan itibaren yayınlanmaya başlamıştır. Bu yazıda bu tekniklerle ilgili çalışmalar değerlendirilerek minimal invaziv adli-tıbbi otopsinin günümüzde nereye oturtulabileceği sorgulanmıştır. Ölenin ailesinin dinsel ya da başka nedenlerle geleneksel bir otopsiyi reddettiği olgularda, laparoskopik otopsi için rıza kolaylıkla alınabilmektedir. Özellikle zehirlenmeler ve travma kökenli olmayan açıklanamamış ölümler gibi belli olgu gruplarında postmortem örnekleme tekniklerini de kullanarak umut verici sonuçlar elde edilmiştir. Minimal invaziv cerrahi teknik uygulamalarını bilen deneyimli cerrahlar tarafmdan gerçekleştirilebilmesi, özellikle tanı açısından hele travma olgularında tam bir otopsinin yerini tutmaması, muhtemelen cerrahların hem hastayı klinikte izleme hem de kendi hastalarma otopsi yapma durumunda kalacak olmaları ve bunun gibi nedenler bu yöntemin sınırlayıcıları gibi durmaktadır. Ancak durum uygun olduğunda, özellikle de alternatif hiç otopsi yapmamak ise, bu tekniğin varlığı göz ardı edilmemelidir.
Anahtar kelimeler: Laparoskopik, endoskopik, torakoskopik, minimal invaziv, otopsi
İndirmeler
Kaynaklar
Benbow EW, Roberts SD. The autopsy: Complete or not complete? Histopathology 2003;42(5):417. DOI: https://doi.org/10.1046/j.1365-2559.2003.01596.x
Hoskeri G. A futuristic view of clinical post-mortem examinations, http://www.expresshealthca- remgmt.com/20041130/ Erişim tarihi:14.08.2006
Catheline JM, Biaggi A, Barrat C, Guettier C, Champault G. Post mortem diagnostic laparoscopy. Chirurgie 1999;124(l):66-8. DOI: https://doi.org/10.1016/S0001-4001(99)80044-0
Cobo Plana JA, Escario JA, Gonzales AG, Hornil- lo MR, Millana C, Gonzales JF. Protocol for postmortem sampling technique in minimally invasive medico-legal autopsy. J Forensic Medicine 2000;22;5-23.
Breeze AC Less. Invazive autopsy: Many questions remain. Arch Dis Child Fetal Neonatal Ed 2004;electronic letters.
Pelosi MA. Howard Kelly’s minimally invasive autopsy circa 1882. Surg Laparosc Endosc Percutan Tech 2004;14(1):45. DOI: https://doi.org/10.1097/00129689-200402000-00013
Wright C, Lee REJ. Investigating perinatal death: A review of the options when autopsy consent is refused. Arch Dis Child Fetal Neonatal Ed 2004;89:285-288. DOI: https://doi.org/10.1136/adc.2003.022483
Patriquin L, Kassarjian A, Barish M, Casserley L, O’brien M, Andry C, Eustace S. Postmortem whole-body magnetic resonance imaging as an adjunct to autopsy: Preliminary clinical experience. J Magn Reson Imaging 2001;13(5):818. DOI: https://doi.org/10.1002/jmri.1114
Hart BL, Dudly MH, Zumwalt RE. Postmortem cranial MRI and autopsy correlation in suspected child abuse. Am J Forensic Med Pathol 1996;17(3) :217-24. DOI: https://doi.org/10.1097/00000433-199609000-00008
Roberts IS, Benbow EW, Bisset R, Jenkins JP, Le- e SH, Reid H, Jackson A. Accuracy of magnetic resonance imaging in determining cause of sudden death in adults: Comparison with conventional autopsy. Histopathology 2004;44(2):187-9. DOI: https://doi.org/10.1111/j.1365-2559.1991.tb00014.x
Vock P, Dirnhofer R. Virtopsy: postmortem imaging of the human heart in situ using MSCT and MRI. Forensic Sei Int 2005;149(l):ll-23. 12 DOI: https://doi.org/10.1016/j.forsciint.2004.05.019
Thali MJ,Yen K, Vock P, Ozdoba C, Kneubuehl BP, Sonnenschein M, Dirnhofer R. Image-guided virtual autopsy findings of gunshot victims performed with multi-slice computed tomography and magnetic resonance imaging and subsequent correlation between radiology and autopsy findings. Forensic Sei Int 2003;138(l-3):8-16.
Dirnhofer R, Jackowski C, Vock P, Potter K, Tha- li MJ. Virtopsy: Minimally invasive, imaging-guided virtual autopsy. Radiographies 2006;26(5):1305-33. DOI: https://doi.org/10.1148/rg.265065001
Thali MJ, Yen K, Planner T, Schweitzer W, Vock P, Ozdoba C, Dirnhofer R. Charred body: Virtual autopsy with multi-slice computed tomography and magnetic resonance imaging. J Forensic Sei 2002;47(6) : 1326-31. DOI: https://doi.org/10.1520/JFS15569J
Jackowski C, Thali M, Sonnenschein M, Aghayev E, Yen K, Dirnhofer R. Adipocere in postmortem imaging using multislice computed tomography (MSCT) and magnetic resonance imaging (MRI). Am J Forensic Med Pathol 2005;26(4):360-4. DOI: https://doi.org/10.1097/01.paf.0000188091.11225.38
Thali MJ, Yen K, Schweitzer W, Vock P, Ozdoba C, Dirnhofer R. Into the decomposed body-forensic digital autopsy using multislice-computed tomography. Forensic Sei Int 2003;134(2-3):109-14. DOI: https://doi.org/10.1016/S0379-0738(03)00137-3
Aghayev E, Jackowski C, Sonnenschein M, Thali M, Yen K, Dirnhofer R. Virtopsy hemorrhage of the posterior cricoarytenoid muscle by blunt force to the neck in postmortem multislice computed tomography and magnetic resonance imaging. Am J Forensic Med Pathol 2006;27(l):25-9. DOI: https://doi.org/10.1097/01.paf.0000201105.07267.fe
Bolliger S, Thali M, Jackowski C, Aghayev E, Dirnhofer R, Sonnenschein M. Postmortem non- invasive virtual autopsy: Death by hanging in a car. J Forensic Sei 2005;50(2):455-60. DOI: https://doi.org/10.1520/JFS2004070
Yen K, Sonnenschein M, Thali MJ, Ozdoba C, Weis J, Zwygart K, Aghayev E, Jackowski C, Dirnhofer R. Postmortem multislice computed tomography and magnetic resonance imaging of odontoid fractures, atlantoaxial distractions and ascending medullary edema. Int J Legal Med 2005; 119(3): 129-36. DOI: https://doi.org/10.1007/s00414-004-0507-7
Yen K, Thali MJ, Aghayev E, Jackowski C, Schweitzer W, Boesch C, Vock P, Dirnhofer R, Sonnenschein M. Strangulation signs: Initial correlation of MRI, MSCT, and forensic neck findings. J Magn Reson Imaging 2005;22(4):501-10. DOI: https://doi.org/10.1002/jmri.20396
Jackowski C, Dirnhofer S, Thali M, Aghayev E, Dirnhofer R, Sonnenschein M. Postmortem diagnostics using MSCT and MRI of a lethal streptococcus group A infection at infancy: A case report. Forensic Sei Int 2005;151(2-3):157-63. DOI: https://doi.org/10.1016/j.forsciint.2005.01.015
Aghayev E, Yen K, Sonnenschein M, Ozdoba C, Thali M, Jackowski C, Dirnhofer R. Virtopsy post-mortem multi -slice computed tomography (MSCT) and magnetic resonance imaging (MRI) demonstrating descending tonsillar herniation: Comparison to clinical studies. Neuroradiology 2004;46(7):559-64. DOI: https://doi.org/10.1007/s00234-004-1212-4
Aghayev E, Yen K, Sonnenschein M, Jackowski C, Thali M, Vock P, Dirnhofer R. Pneumomediastinum and soft tissue emphysema of the neck in postmortem CT and MRI: A new vital sign in hanging? Forensic Sei Int 2005;153(2-3):181-8. DOI: https://doi.org/10.1016/j.forsciint.2004.09.124
Jackowski C, Thali M, Sonnenschein M, Aghayev E, Yen K, Dirnhofer R, Vock P. Visualization and quantification of air embolism structure by processing postmortem MSCT data. J Forensic Sei 2004;49(6): 1339-42. DOI: https://doi.org/10.1520/JFS2004047
Aghayev E, Thali MJ, Sonnenschein M, Hurli- mann J, Jackowski C, Kilchoer T, Dirnhofer R. Fatal steamer accident; blunt force injuries and drowning İn post-mortem MSCT and MRI. Forensic Sei Int 2005;152(1):65-71. DOI: https://doi.org/10.1016/j.forsciint.2005.02.034
Aghayev E, Thali M, Jackowski C, Sonnenschein M, Yen K, Vock P, Dirnhofer R. Virtopsy--fatal motor vehicle accident with head injury. J Forensic Sei 2004;49(4):809-13. DOI: https://doi.org/10.1520/JFS2003378
Jackowski C, Thali M, Aghayev E, Yen K, Sonnenschein M, Zwygart K, Dirnhofer R, Vock P. Postmortem imaging of blood and its characteristics using MSCT and MRI. Int J Legal Med 2006;120(4):233-40. DOI: https://doi.org/10.1007/s00414-005-0023-4
Thali MJ, Schweitzer W, Yen K, Vock P, Ozdoba C, Spielvogel E, Dirnhofer R. New horizons in forensic radiology: The 60-second digital autopsy- full-body examination of a gunshot victim by multislice computed tomography. Am J Forensic Med Pathol 2003;24(l):22-7. DOI: https://doi.org/10.1097/01.PAF.0000050694.17624.B1
Thali MJ, Yen K, Vock P, Ozdoba C, Kneubuehl BP, Sonnenschein M, Dirnhofer R. Image-guided virtual autopsy findings of gunshot victims performed with multi-slice computed tomography and magnetic resonance imaging and subsequent correlation between radiology and autopsy findings. Forensic Sei Int 2003;138(l-3): 8-16. DOI: https://doi.org/10.1016/S0379-0738(03)00225-1
Foroudi F, Cheung K, Duflou J. A comparison of the needle biopsy post mortem with the conventional autopsy. Pathology 1995;27(l):79-82 DOI: https://doi.org/10.1080/00313029500169532
Cina SJ, Smialek JE. Postmortem percutaneous core biopsy of the liver. Mil Med 1999;164(6): 419-22. DOI: https://doi.org/10.1093/milmed/164.6.419
Aranda M, Marti C, Bernet M, Gudiol F, Pujol R. Diagnostic utility of postmortem fine-needle aspiration cultures. Arch Pathol Lab Med 1998;122(7):650-5
Hedican S. Laparoscopy in urology. Surg Clin North Am 2000;80(5):1465-85. DOI: https://doi.org/10.1016/S0039-6109(05)70239-5
Soper NJ, Brunt LM, Kerbl K. Laparoscopic general surgery. N Engl J Med 1994;330:409-10. DOI: https://doi.org/10.1056/NEJM199402103300608
Hopkins M. The myths of laparoscopic surgery. Am J Obstet Gynecol 2000;183(l):l-5. DOI: https://doi.org/10.1016/S0002-9378(00)99785-0
Cacchione RN, Sayad P, Pecoraro A, Ferzli G. Laparoscopic autopsy. Surg Endosc 2001;15(6):619-622.
Avrahami R, Watemberg S, Daniels-Philips E, Ka- hana T, Hiss Y. Endoscopic autopsy. Am J Forensic Med Pathol 1995;16(2):147-50. DOI: https://doi.org/10.1097/00000433-199506000-00014
Avrahami R, Watemberg S, Hiss Y. Thoracoscopy vs conventional autopsy of the thorax, a promising perspective. Arch. Surg 1995;130(9):956-8.
Avrahami R, Watemberg S, Hiss Y, Deutsch AA. Laparoscopic vs conventional autopsy: a promising perspective. Arch Surg 1995;130(4):407-9. DOI: https://doi.org/10.1001/archsurg.1995.01430040069014
Catheline JM, Turner R, Guettier C, Champault G. Autopsy can be performed laparoscopically. Surg Endosc 1999;13:1163-4. DOI: https://doi.org/10.1007/s004649901197
Damore LJ, Barth RF, Morrison CD, Frankel WL, Melvin WS. Laparoscopic postmortem examination: A minimally invasive approach to the autopsy. Ann Diagn Pathol 2000;4(2):95-8. DOI: https://doi.org/10.1016/S1092-9134(00)90018-2
Larsen PL, Tos M. Origin of nasal polyps: An endoscopic autopsy study. Laryngoscope 2004; 114 (4):710-19. DOI: https://doi.org/10.1097/00005537-200404000-00022
Cacchione RN, Sayad P, Ferzli G. Laparoscopic autopsies as a teaching instrument for surgical residents. Surg Endosc 2001;15:619-22. DOI: https://doi.org/10.1007/s004640000308
Taft ML, Boglioli LR. Endoscopy is not autopsy. Am J Forensic Med Pathol 1996;17(1):86-88. DOI: https://doi.org/10.1097/00000433-199603000-00018
İndir
Yayınlanmış
Sayı
Bölüm
Lisans
Dergimiz ve bu internet sitesinin tüm içeriği Creative Commons Attribution (CC-BY) lisansının şartları ile ruhsatlandırılmıştır. Creative Commons Attribution Lisansı, kullanıcıların bir makaleyi kopyalamasına, dağıtmasına ve nakletmesine, makaleyi uyarlamasına ve makalenin ticari olarak kullanılmasına imkan tanımaktadır. CC BY lisansı, yazarına uygun şekilde atfedildiği sürece açık erişimli bir makalenin ticari ve ticari olmayan mahiyette kullanılmasına izin vermektedir.
