Bronchogenic cysts of the lung: report of 29 cases
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CitationKoşar, A., Tezel, Ç., Orki, A., Kiral, H. ve Arman, B. (2009). Bronchogenic cysts of the lung: report of 29 cases. Heart Lung and Circulation. 18(3), s. 214-218.
Background:Intrapulmonary bronchogenic cysts are congenital anomalies of the tracheobronchial tree and foregut.The aim of this retrospective study was to review the diagnosis, clinical and histological features, operative techniques,outcomes and follow-up of intrapulmonary bronchogenic cysts treated in a single institute.Methods:Twenty-nine patients with intrapulmonary bronchogenic cysts were treated surgically between 1990 and2005. There were 17 female and 12 male patients and their ages ranged from 7 to 68 years. Patients were divided into twogroups according to surgical procedure. Resection (lobectomy or wedge resection) was performed on Group I (n= 18),and partial excision with de-epithelisation was performed on Group II (n= 11).Results:Twenty-fivepatients(86.2%)weresymptomatic.Coughandsputumwerethemostcommonsymptoms.Twenty-four of the 29 BCs were simple cysts (82.7%) whereas 5 (17.3%) were complicated cysts. Postoperative hospital stay was4.55±0.86 days in group I and 6.54±3.34 days in group II (P= 0.172). Complications in Group I were pneumonia in onecase and wound infection in two cases; prolonged air leakage were observed in two cases of Group II. No statisticaldifference was determined between the complication rates of the two groups (P= 0.91). However a significant differencewas determined between the complication rates of simple and complicated cysts (P= 0.026). Two cases in Group II showedrecurrence, whereas no recurrence occurred in Group I. (P= 0.065) No postoperative mortality was observed in any of thegroups.Conclusions:All bronchogenic cysts should be treated surgically. We believe that partial excision with de-epithelisationmay be an alternative to resection in symptomatic patients with limited respiratory capacity.
SourceHeart Lung and Circulation
- Makale Koleksiyonu