Mehmet Erdem ÇAKMAK, Hayriye Cankar DAL, Derya ADEMOĞLU, Serdar YAMANYAR, Büşra TEZCAN, Dilek KAZANCI, Ayşegül ÖZGÖK, Sema TURAN

Özofajektomi Sonrası Pulmoner Komplikasyon Gelişen Olgular ve Tedavi Yaklaşımları

Subtotal özofajektomi mide serbestleştirilmesi sonrası torakotomi ile özofajektomi ve özofagogastrik anastomozu içerir. Özofagus karsinomunda, yüksek dereceli displazide, kostik özofageal yaralanmalarda uygulanabilir. Bu operasyon sonrası atelektazi, pnömoni, aspirasyon ve uzamış entübasyon gerektiren solunum yetmezliği pulmoner komplikasyon olarak görülebilir. Pulmoner komplikasyonların oranı %20 ile %50 arasında değişmektedir. Pulmoner komplikasyon gelişimi hastanede kalış süresini uzatmanın yanı sıra mortalite ve morbiditeyi anlamlı oranda arttırmaktadır. Bu çalışmada postoperatif pulmoner komplikasyon gelişen 5 olguyu retrospektif olarak değerlendirdik. Olguların postoperatif dönemde 4 tanesinde pnömoni, 1’inde atelektazi, 1’inde pnömotoraks ve cilt altı amfizem geliştiği saptandı. Bir hasta postoperatif dönemde anastomoz kaçağına bağlı exitus oldu. Dikkatli bir preoperatif değerlendirme ve uygun postoperatif önlemler ile pulmoner komplikasyon oranları azaltılabilir. Bu çalışmada özofagus cerrahisi sonrası postoperatif pulmoner komplikasyon gelişen olguları değerlendirmeyi amaçladık

PATIENTS WITH PULMONARY COMPLICATIONS AFTER ESOPHAGECTOMY AND TREATMENT APPROACHES

Subtotal esophagectomy involves esophagectomy and esophagogastric anastomosis with thoracotomy after gastric release emptying . It can be performed to remove esophageal carcinomas, high - grade dysplasia, and caustic esophageal injuries. Atelectasis, pneumonia, aspiration and prolonged respiratory failure may occur as pulmonary complications in the postoperative period. The rate of pulmonary complications ranges from 20% to 50%. The development of pulmonary complications not only prolongs the hospital stay but it also increases the mortality and morbidity significantly. In this study, we retrospectively evaluated 5 cases with postoperative pulmonary complications. Postoperatively, 4 cases had pneumonia, 1 had atelectasis, 1 had a pneumothorax and subcutaneous emphysema. One patient died in the postoperative period due to anastomotic leakage. Pulmonary complication rates can be reduced with careful preoperative evaluation and appropriate postoperative measures. In this study, we aimed to evaluate the postoperative pulmonary complications after esophageal surgery

Keywords:

Esophagectomy, lung, complications,

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