Abdullah YILDIZ, Başak ERGİNEL, Canan TANIK, Ali İhsan DOKUCU, Nihat SEVER, Çetin Ali KARADAĞ, Melih AKIN

Pulmonary sublobar resections in children with congenital cystic adenomatoid malformations

Amaç: Bu çalışmada pediatrik hastalarda doğuştankistik adenomatoid malformasyonlar (DKAM) nedeniile yapılan pulmoner sublober rezeksiyonların sonuçlarıdeğerlendirildi. Çalışma planı: Ocak 1999 - Aralık 2012 tarihleriarasında kliniğimizde DKAM nedeni ile cerrahiuygulanan 20 çocuk (11 erkek, 9 kız; ort. yaş 5.48 yıl;dağılım 39 gün - 18 yıl) retrospektif olarak incelendi.On bir hastaya lobektomi (grup 1) ve dokuz hastaya altısıtorakoskopik rezeksiyon ve üçü açık segmentektomiolmak üzere sublober rezeksiyon (grup 2) yapıldı. Yaş,cinsiyet, patolojik tanı, lezyonun yeri, cerrahi işlem,lezyonun büyüklüğü, göğüs tüpü süresi, hastanede kalışsüresi ve cerrahi sonrası komplikasyonlara ilişkin veritoplandı. Bul gu lar: Lobar ve sublober rezeksiyon yapılan iki gruparasında demografik açıdan istatistiksel olarak anlamlıfark olmamasına rağmen sublobar rezeksiyon yapılangrupta göğüs tüp kalış (sırası ile 5.3±0.5 gün, 3.6±1.9gün), hastanede kalış süresi (sırası ile 7.5±0.7, 4.8±2.2)anlamlı olarak azalmıştı (p

Doğuştan kistik adenomatoid malformasyonlu çocuklarda pulmoner sublober rezeksiyonlar

Background: In this study, we aimed to evaluate theoutcomes of pulmonary sublobar resections performed forcongenital cystic adenomatoid malformations (CCAM) inpediatric patients. Methods: We retrospectively reviewed 20 children (11 boys,9 girls; mean age 5.48 years; range 39 days to 18 years)who underwent surgery for CCAM in our clinic betweenJanuary 1999 and December 2012. Eleven patients hadlobectomies (group 1), and nine patients had sublobarresections of whom six underwent thoracoscopic resectionsand three underwent open segmentectomy (group 2).Data were collected regarding age, sex, pathologicaldiagnosis, location of lesion, surgical procedure, size ofthe lesion, chest tube duration, length of hospital stay, andpostoperative complications. Results: Although there was no statistically significantdifference in the demographics between the two groupsundergoing lobar and sublobar resection, the chest tubeduration (5.3±0.5 days vs 3.6±1.9 days) and the length ofhospital stay (7.5±0.7 vs 4.8±2.2 days) were significantlyshorter in the sublobar resection group (p

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