Benign akciğer hastalıklarında tamamlama pnömonektomileri
Küçük Resim Yok
Tarih
2011
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Maltepe Üniversitesi
Erişim Hakkı
Attribution-NonCommercial-NoDerivs 3.0 United States
info:eu-repo/semantics/openAccess
info:eu-repo/semantics/openAccess
Özet
Amaç: Benign akciğer hastalıklarında cerrahi müdahale peroperatif ve postoperatif komplikasyonları da beraberinde getirmektedir. Çalışmanın amacı, bu grup hastalarda uygulanmış tamamlama pnömonektomilerinin; endikasyon, komplikasyon ve postoperatif sonuçlarını incelemektir. Yöntemler: 16 yıllık bir süreçte benign akciğer hastalığı nedeniyle tamamlama pnömonektomisi gerektiren toplam 27 hasta geriye dönük incelendi. Benign etiyoloji nedeniyle 23 hastada tamamlama pnömonektomisi uygulandı. Bu hasta grubunda etiyoloji, ameliyat tekniği ve komplikasyonları etkileyen faktörler araştırıldı. Bulgular: Tamamlayıcı pnömonektomi endikasyonları; 23 hastada benign (bronşektazi:14, tüberküloz:5, bronkoplevral fistül:2, akciğer nekrozu:2) hastalıklar idi. Ameliyat sonrası bronkoplevral fistül ve ampiyem 6 olguda gelişti. Bronkoplevral fistül gelişimi açısından; tüberküloz, sağ/sol farkı ve güdük kapama teknikleri arasında istatistiksel bir fark tespit edilemedi. Otuz günlük operatif mortalite %8.69 (2/23) idi. Mortalite görülen olgularda BPF oranı anlamlı düzeyde yüksek bulundu (p<0.01). Bu grupta 5 yıllık hastalıksız sağ kalım oranı %78.9 olarak gerçekleşti. Sonuç: Tamamlayıcı pnömonektomleri standart pnömonektomiden daha yüksek mortalite oranlarına sahiptir. Benign inflamatuar hastalıklarda ve özellikle de tüberkülozlu hastalarda komplikasyon oranlarının daha yüksek olduğu gösterilmiştir.
Objective: It is certain that surgical management in an infectious disease unavoidable come up with pre and postoperative complications. We aimed to investigate completion pneumonectomies due to benign pulmonary diseases according to indications, complications and overall postoperative outcomes. Methods: The medical records of 27 patients who were underwent completion pneumonectomy in 16 years period were retrospectively analyzed. The primary etiology of those patients was benign pulmonary diseases in 23 patients. Among that group of patients', the etiology, operative techniques and complications were analyzed. Results: The indications for completion pneumonectomies in 23 benign pulmonary disease were; bronchiectasis in 14, tuberculosis in 5, bronchopleural fistula in 2 and parenchymal necrosis in 2 patients. Bronchopleural fistula and empyema occurred in 6 of the patients. No statistical difference was found between tuberculosis, lateralization the disease, and stump coverage in order to create bronchopleural fistula. Thirty day operative mortality was 8.69% (2/23). Mortality rate was statistically higher in patients with bronchopleural fistula (p<0.01). The actuarial 5-year survival was 78.9%. Conclusions: Completion pneumonectomy has higher mortality rates than standard pneumonectomy. The complication rates were found to be greater in patients with benign inflammatory diseases especially with tuberculosis.
Objective: It is certain that surgical management in an infectious disease unavoidable come up with pre and postoperative complications. We aimed to investigate completion pneumonectomies due to benign pulmonary diseases according to indications, complications and overall postoperative outcomes. Methods: The medical records of 27 patients who were underwent completion pneumonectomy in 16 years period were retrospectively analyzed. The primary etiology of those patients was benign pulmonary diseases in 23 patients. Among that group of patients', the etiology, operative techniques and complications were analyzed. Results: The indications for completion pneumonectomies in 23 benign pulmonary disease were; bronchiectasis in 14, tuberculosis in 5, bronchopleural fistula in 2 and parenchymal necrosis in 2 patients. Bronchopleural fistula and empyema occurred in 6 of the patients. No statistical difference was found between tuberculosis, lateralization the disease, and stump coverage in order to create bronchopleural fistula. Thirty day operative mortality was 8.69% (2/23). Mortality rate was statistically higher in patients with bronchopleural fistula (p<0.01). The actuarial 5-year survival was 78.9%. Conclusions: Completion pneumonectomy has higher mortality rates than standard pneumonectomy. The complication rates were found to be greater in patients with benign inflammatory diseases especially with tuberculosis.
Açıklama
Anahtar Kelimeler
tamamlama pnömonektomisi, benign akciğer hastalıkları, komplikasyon, completion pneumonectomy, benign pulmonary disease, complications
Kaynak
Maltepe Tıp Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
3
Sayı
1
Künye
Tezel, Ç., Kıral, H., Koşar, A., Örki, A., Arman, B. ve Ürek, Ş. (2011). Benign akciğer hastalıklarında tamamlama pnömonektomileri / Completion pneumonectomy in benign pulmonary diseases. Maltepe Tıp Dergisi. 3(1), s. 15-20.
