Pulmoner aspergillomada cerrahi yaklaşım

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dc.authorid0000-0001-9169-560Xen_US
dc.authorid0000-0001-7432-9827en_US
dc.contributor.authorKoşar, Altuğ
dc.contributor.authorKıral, Hakan
dc.contributor.authorÖrki, Alpay
dc.contributor.authorKeleş, Murat
dc.contributor.authorÜrek, Şenol
dc.contributor.authorTemürtürkan, Kemal
dc.contributor.authorDudu, Canan
dc.contributor.authorArman, Bülent
dc.date.accessioned2024-07-12T21:11:47Z
dc.date.available2024-07-12T21:11:47Z
dc.date.issued2005en_US
dc.departmentFakülteler, Tıp Fakültesien_US
dc.description.abstractPulmoner aspergilloma, Aspergillus fumigatus’un akci¤er kavitelerinde kolonizasyonundan kaynaklanan ve hayat› tehdit eden bir hastal›kt›r. Bu çal›flma, pulmoner aspergillomada cerrahi tedavinin rolünü araflt›rmak amac› ile yap›ld›. Merkezimizde 1987 ile 2002 y›llar› aras›nda pulmoner aspergilloman›n tedavisi için 42 olguya 43 operasyon yap›ld›. Olgular›n 29’u erkek, 13’ü kad›nd› ve ortalama yafl 32 (21-68) idi. Olgular›n 38’inde (%90.5) altta yatan hastal›k tüberkülozdu. Yirmi bir (%50) olgunun gö¤üs radyografilerinde tipik olan fungus topu ve “air-crescent sign” vard›. Cerrahi endikasyonlar 29 (%69) olguda hayat› tehdit eden veya tekrarlayan hemoptizi, 12 (%28.6) olguda harap olmufl lob veya akci¤erdi. Olgular›n 26’s›na (%61.9) lobektomi (bir olguda ek olarak segmentektomi), 6’s›na pnömonektomi, 8’ine kavernomiyoplasti, 1’ine bilateral üst lobektomi ve 1’ine torakomiyoplasti yap›ld›. Postoperatif mortalite 3 (%7.1) olguda görüldü. Komplikasyonlar uzam›fl hava kaça¤› ve/veya ampiyem (5), bronkoplevral fistül (2), kanama (2) ve yara yeri infeksiyonuydu (2). Tüberküloz, pulmoner aspergilloma ile iliflkili en s›k görülen hastal›kt›r. Pulmoner aspergilloma tedavisinde cerrahi rezeksiyon en etkili tedavi yöntemidir. Genel durumu bozuk ve solunum fonksiyonlar› s›n›rl› oldu¤u için rezeksiyon yap›lamayan olgularda, kavernomiyoplasti hayat kurtar›c› bir yöntemdir.en_US
dc.description.abstractPulmonary aspergilloma is a potentially life-threatening disease resulting from the colonization of lung cavities by the Aspergillus fumigatus. This study was performed to find out the role of surgical treatment in pulmonary aspergillomas. In our center, between 1987 and 2002, 42 patients underwent a total of 43 operations for treatment of pulmonary aspergilloma. The patients were comprised of 29 males and 13 females, with a mean age of 32 years (range, 21- 68). The underlying lung disease was tuberculosis in 38 (90.5%) cases. There was typical fungus ball and air-crescent sign in the chest radiographies of 21 (50%) patients. Indications for surgical intervention were life-threatening or recurrent hemoptysis in 29 (69%) patients and destroyed lobe or lung in 12 patients (28.6%). Twenty-six (61.9%) lobectomies (one with associated segmentectomy), 6 pneumonectomies, 8 cavernomyoplasties, 1 bilateral upper lobectomy and 1 thoracomyoplasty were performed. There were three postoperative deaths (7.1%). Complications were, prolonged air leak and/or empyema (5), bronchopleural fistula (2), bleeding (2) and wound infection (2).Tuberculosis is the most frequent disease associated with pulmonary aspergilloma. Surgical resection is the most effective treatment in pulmonary aspergilloma. If resection can not be performed because of limited pulmonary functions and poor general condition, cavernomyoplasty should be performed as a life saving procedure.en_US
dc.identifier.citationKoşar, A., Kıral, H., Örki, A., Keleş, M., Ürek, Ş., Temürtürkkan, K., Dudu, C. ve Arman, B. (2005). Pulmoner aspergillomada cerrahi yaklaşım / Surgical approach to pulmonary aspergilloma. 6(1), s. 1302-7808.en_US
dc.identifier.endpage7808en_US
dc.identifier.issn1302-7808
dc.identifier.issue1en_US
dc.identifier.startpage1302en_US
dc.identifier.urihttps://app.trdizin.gov.tr/publication/paper/detail/TlRJM01UYzM
dc.identifier.urihttps://hdl.handle.net/20.500.12415/4404
dc.identifier.volume6en_US
dc.institutionauthorKoşar, Altuğ
dc.language.isotren_US
dc.publisherAves Yayıncılıken_US
dc.relation.ispartofToraks Dergisien_US
dc.relation.publicationcategoryUlusal Hakemli Dergide Makale - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmzKY03605
dc.subjectBronkopulmoner aspergillozisen_US
dc.subjectTorasik cerrahien_US
dc.subjectTüberkülozen_US
dc.subjectBronchopulmonary aspergillosisen_US
dc.subjectThoracic surgeryen_US
dc.subjectTuberculosisen_US
dc.titlePulmoner aspergillomada cerrahi yaklaşımen_US
dc.title.alternativeSurgical approach to pulmonary aspergillomaen_US
dc.typeArticle
dspace.entity.typePublication

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