Ahmet Feridun IŞIK, Maruf ŞANLI, Ahmet ULUSAN, İbrahim Emre TUNCA

Girişimsel bronkoskopik teknikler ile tedavi edilen endobronşiyal lezyon olguları: Tek merkezli deneyimlerimiz

Amaç: Bu çalışmada, endobronşiyal lezyonların tedavisinde kliniğimizde kullandığımız girişimsel bronkoskopi konusundaki deneyimlerimiz sunuldu. Çalışma planı: Kliniğimizde Ocak 2010 - Aralık 2018 tarihleri arasında bronkoskopi ile endobronşiyal lezyon tanısı konulan toplam 18 hasta (11 erkek, 7 kadın; ort. yaş 55.1 yıl; dağılım 17-82 yıl) retrospektif olarak değerlendirildi. Hastaların demografik özellikleri, mevcut semptomları, bronkoskopik işlem, lezyonun yeri, patolojik tanısı, tedavi yaklaşımları, bronkoskopik tedavi başarısı ve takip sonuçları değerlendirildi. Bulgular: On dört hastaya kontrol bronkoskopisi ve sekiz hastaya ikinci kontrol bronkoskopisi yapıldı. Lezyonlar hastaların dokuzunda (%50) sağ bronşiyal sistem, altısında (%33) sol bronşiyal sistem ve üçünde (%17) trakea yerleşimli idi. Bir gebe hasta hariç, tüm girişimsel işlemler genel anestezi altında rijit bronkoskop ile yapıldı. Rijit bronkoskop ile ulaşılamayan distal alanlar, fleksibl bronkoskop ile değerlendirildi. Hastaların hiçbirinde komplikasyon görülmedi. Çalışmanın sonunda tüm olguların son kontrol biyopsileri normal bulundu. Girişimsel bronkoskopik yöntemlerin başarı oranı %100 idi. Sonuç: Girişimsel bronkoskopik yöntemler, bronşiyal lezyonların tanı ve tedavisinde en yüksek başarı oranı ile en etkili işlemlerdir. Çalışma bulgularımıza göre, Bronkoskopik yöntemlerin benign ve seçilmiş bazı malign endobronşiyal lezyonlarda ilk tedavi seçeneği olması gerektiği görüşündeyiz.

Endobronchial lesions cases treated with interventional bronchoscopic techniques: Our single-center experiences

Background: In this study, we aimed to present our experiencewith interventional bronchoscopy in the treatment ofendobronchial lesions in our clinic.Methods: Between January 2010 and December 2018, a totalof 18 patients (11 males, 7 females; mean age 55.1 years; range,17 to 82 years) who were diagnosed with an endobronchiallesion using bronchoscopy in our clinic were retrospectivelyanalyzed. Demographic characteristics, presenting symptoms,bronchoscopic procedure, location of the lesion, pathologicaldiagnosis, treatment approaches, success of the bronchoscopictreatment, and follow-up outcomes of the patients were evaluated.Results: Control bronchoscopy was performed in 14 patientsand a second control bronchoscopy was performed in eightpatients. The lesions were located in the right bronchial systemin nine (50%), in the left bronchial system in six (33%), andin the trachea in three patients (17%). Except for one pregnantpatient, all interventional procedures were performed with a rigidbronchoscope under general anesthesia. Distal areas which wereunable to be reached with the rigid bronchoscope were evaluatedby a flexible bronchoscope. There were no complications in anyof the patients. At the end of the study, the final control biopsiesof all patients were found to be normal. The success rate ofinterventional bronchoscopic methods was 100%.Conclusion: Interventional bronchoscopic methods are the mosteffective procedures in the diagnosis and treatment of bronchiallesions with a high success rate. Based on our study findings,we suggest that bronchoscopic methods should be preferred asthe first-line treatment of benign and selected some malignantendobronchial lesions.

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