Adil POLAT, Kaan KIRALİ, Altuğ TUNCER, Başar SAREYYÜPOĞLU, Vedat ERENTUĞ, Esat AKINCI, Cevat YAKUT, Gökhan İPEK, Hasan Basri ERDOĞAN

Atriyal septal defekt onarımında torakotomi ile sternotominin karşılaştırılması

Amaç: Farklı cerrahi stratejilerle gerçekleştirilen atriyal septal defekt onarımının klinik sonuçları karşılaştırıldı. Çalışma planı: 1997-2003 yılları arasında atriyal septal defekt onarımı için konvansiyonel sternotomi (n=45) ve sağ anterior torakotomi (n=42) yaklaşımıyla ameliyat edilen 87 hastanın (23 erkek, 64 kadın; ort. yaş 24.3±12.6; dağılım 2- 63) verileri geriye dönük olarak değerlendirildi.Bulgular: Torakotomi yapılan gruptaki hastaların daha erken mobilize oldukları, daha az analjezik tedavi ihtiyacı gösterdikleri, yoğun bakım ve hastane kalış sürelerinin daha kısa olduğu saptandı.Sonuç: Bulgularımız, sağ anterior torakotominin yalnızca olumlu kozmetik sonuçları nedeniyle değil, hasta iyileşmesine olan katkısıyla da atriyal septal defektlerin onarımında ilk sıralarda tercih edilecek bir yöntem olduğunu gösterdi.

Comparison between thoracotomy and sternotomy in repair of atrial septal defects

Background: We evaluated the clinical results of different surgical strategies for atrial septal defect closure. Methods: Between 1997 and 2003, a total of 87 patients (23 males, 64 females; mean age 24.3±12.6 years; range 2 to 63 years) underwent conventional sternotomy (n=45) or right anterior thoracotomy (n=42) for all types of atrial septal defects.Results: Compared with the sternotomy group, patients who received thoracotomy were mobilized earlier, required less analgesic therapy, and had a shorter intensive care unit stay and hospitalization.Conclusion: Our results suggest that right anterior thoracotomy may be a highly preferred approach in closure of atrial septal defects due to its favorable cosmetic results and a more rapid patient recovery.

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