Malign Akciğer Kanserli Hastalarda Üç-Port Video-Yardımlı Torakoskopik Cerrahi (VATS) ile Lobektomi Güvenle Uygulanabilir: Tek Merkezli Çalışma Sonuçları
Amaç: Bu çalışmada kliniğimizde 2010–2018 yılları arasında üç port VATS tekniği ile akciğer rezeksiyonu uygulanan malign akciğer tümörlü hastalarımızın sonuçlarını irdelemeyi amaçladık.Hastalar ve yöntemler: Ağustos 2010–Ocak 2018 tarihleri arasında toplam 46 hastaya (Erkek:37 hasta, Kadın:9 hasta) malignnedenler ile üç port VATS lobektomi uygulandı. Ortalama yaş 55.5 olarak saptandı (16–78 yaş arası). Hastaların ameliyat öncesiözellikleri (ek hastalık, komorbiditeler), kanama miktarı, ameliyat süreleri, yapılan rezeksiyon tipi, örneklenen lenf nodu sayıları,postoperatif takip özellikleri (drenaj miktarı, drenaj süresi, hastanede kalış süresi) , komplikasyonları, postoperatif ağrı skorlarıretrospektif olarak değerlendirildi.Bulgular: Hastaların patolojik tanısı 29 hastada adenokarsinom, 10 hastada skuamöz hücreli karsinom ve 7 hastada diğer tümörtipleri olarak saptandı. Hastaların 21 tanesinde preoperatif komorbiditeler mevcuttu. Açığa dönme oranı %4.3 olarak saptandı.Operatif mortalite görülmedi. Ortalama operasyon süresi 169 dakika (75–285 dk.), hastanede kalış süresi ortalama 5.1 gün, ortalama dren kalış süresi 4.2 gün olarak hesaplandı. Peroperatif ve postoperatif drenaj miktarları sırası ile 219 ml ve 679 ml olarakortaya konuldu. Komplikasyon oranı %15.2 olarak saptandı (pnömoni 3 hasta %6.5, Uzamış hava kaçağı 1 hasta %2.1, aritmi 2hasta %4.3 ve cilt altı amfizem 1 hasta %2.1). Ameliyat sonrası 1.gün görsel analog ağrı skalası değeri ise 2.8 değerindeydi. Ortalama çıkartılan lenf nodu örnekleri göz önüne alındığında ortalama çıkartılan lenf nodu sayısı 17 olarak saptandı.Sonuç: Malign akciğer kanserli hastalarda VATS lobektomi başarıyla ve düşük morbidite ve tatmin edici postoperatif sonuçları ilegüvenle tercih edilebilecek bir tekniktir.
TRIPORTAL VIDEO- ASSISTED THORACOSCOPIC (VATS) LOBECTOMY CAN BE PERFORMED SAFELY IN PATIENTS WITH MALIGNANT LUNG CANCER: RESULTS OF A SINGLE-CENTRE
Purpose: Our objective was to analyze the results of the patients with malignant lung tumor who underwent triportal VATS lung resection in our clinic in the 2010–2018 period. Patients and methods: Between August 2010 and January 2018, 46 patients with malignant tumors (37 male, 9 female) underwent triportal VATS lobectomy. Mean age of the patients was 55.5 (age range: 16-78). Patients’ pre-operation features (additional diseases, comorbidities), amount of bleeding, operation duration, resection type, number of sampled lymph nodes, postoperative conditions (amount of drainage, duration of drainage, hospital stay), complications and postoperative pain scores were recorded. Results: The pathological diagnosis was adenocarcinoma in 29 patients, squamous cell carcinoma in 10 patients and other tumor types in 7 patients. 21 patients had preoperative comorbidities. The conversion rate was 4.3%. No operative mortality was observed. The average operation time was calculated as 169 minutes (range 75-285 minutes), while the average duration of hospital stay was 5.1 days and the average duration of drainage was 4.2 days. Perioperative and postoperative drainage was 219 mL and 679 mL respectively. Complication rate was 15.2 percent (pneumonia; 6.5%, extended air leakage; 2.1%, arrhythmia; 4.3% and subcutaneous emphysema; 2.1%). The visual analogue pain scale value was 2.8 percent on the first post-operative day. Regarding the harvested lymph node samples, the average number of harvested lymph nodes was 17. Conclusion: VATS lobectomy is a successful and reliable technique in patients with malignant lung cancer due to its low morbidity rates as well as satisfactory postoperative results.
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- ISSN: 1309-470X
- Yayın Aralığı: 4
- Başlangıç: 2010
- Yayıncı: ACIBADEM MEHMET ALİ AYDINLAR ÜNİVERSİTESİ