Volkan BAYSUNGUR, İrfan YALÇINKAYA, Aysun Kosif MISIRLIOĞLU, Levent ALPAY, Hakan KIRAL, Meltem ÇOBAN AĞCA, Serkan BAYRAM, Fatma TOKGÖZ AKYIL

Harap akciğerde pnömonektominin komplikasyon oranlarını etkileyen faktörler

Amaç: Bu çalışmada harap akciğer nedeniyle pnömonektomi uygulanan hastaların özellikleri ve cerrahi prosedürleri ile ameliyat sonrası komplikasyonlar arasındaki ilişki araştırıldı. Çalışma planı: Şubat 2007 - Ekim 2014 tarihleri arasında harap akciğer tanısı ile pnömonektomi uygulanan 39 hasta (19 erkek, 20 kadın; ort. yaş 35 yıl; dağılım, 6-71 yıl) retrospektif olarak değerlendirildi. Hastalar ameliyat sonrası komplikasyon gelişmeyenler (grup 1) ve komplikasyon gelişenler (grup 2) olarak ikiye ayrıldı. Hastaların özellikleri ve cerrahi prosedürlerin detayları iki grup arasında karşılaştırıldı. Bulgular: Yirmi dokuz hastaya (%74) sol pnömonektomi uygulandı. Hastanede kalış süresi ortalama dokuz gün idi. Ameliyat sonrası üç aylık izlem döneminde morbidite ve mortalite sırasıyla 13 (%33.3) ve bir hastada (%2.6) bildirildi. Grup 1 ve 2 arasında yaş, cinsiyet, ek hastalıklar, spirometrik bulgular, kan transfüzyon durumu, cerrahi rezeksiyon genişliği ve bronş güdüğü kapama yöntemleri açısından anlamlı farklılık bulunmadı. Sonuç: Harap akciğer nedeniyle cerrahi rezeksiyon uygulanan hastalarda düşük albumin düzeyleri ameliyat sonrası komplikasyon gelişme riskini artırdı. Pnömonektomi sonrası morbidite ve mortalite oranları kabul edilebilir düzeylerde idi. Harap akciğerli uygun hastalarda cerrahi tedavi olarak pnömonektomiden kaçınılmamalıdır.

Factors affecting complication rates of pneumonectomy in destroyed lung

Background: This study aims to investigate the relationship between characteristics of patients who were performed pneumonectomy for destroyed lung and their surgical procedures with postoperative complications.Methods: Thirty-nine patients (19 males, 20 females; mean age 35 years; range, 6 to 71 years) who were performed pneumonectomy with a diagnosis of destroyed lung between February 2007 and October 2014 were retrospectively evaluated. Patients were divided into two as those who did not develop any postoperative complication (group 1) and those who developed a postoperative complication (group 2). Patients’ characteristics and details of the surgical procedures were compared between the two groups.Results: Twenty-nine patients (74%) were performed left pneumonectomy. Mean duration of hospital stay was nine days. During the postoperative three -month follow-up period, morbidity and mortality were reported for 13 patients (33.3%) and one patient (2.6%), respectively. No significant difference was found between groups 1 and 2 in terms of age, gender, concomitant diseases, spirometric findings, blood transfusion status, surgical resection width or methods of bronchial stump closure.Conclusion: Low albumin levels increased the risk of developing postoperative complications in patients who were performed surgical resection for destroyed lung. Postpneumonectomy morbidity and mortality rates were at acceptable levels. Pneumonectomy should not be avoided as surgical treatment in eligible patients with destroyed lung.

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