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Sleeve akciğer rezeksiyonlarında mortalite ve morbiditeyi etkileyen faktörler

Factors affecting mortality and morbidity in sleeve lung resections

  1. Tez No: 711787
  2. Yazar: ÖZGÜR İŞGÖRÜCÜ
  3. Danışmanlar: DOÇ. DR. ATİLLA GÜRSES
  4. Tez Türü: Tıpta Uzmanlık
  5. Konular: Göğüs Kalp ve Damar Cerrahisi, Thoracic and Cardiovascular Surgery
  6. Anahtar Kelimeler: Belirtilmemiş.
  7. Yıl: 2011
  8. Dil: Türkçe
  9. Üniversite: Sağlık Bakanlığı
  10. Enstitü: Yedikule Göğüs Hastalıkları Ve Göğüs Cerrahisi Eğitim ve Araştırma Hastanesi
  11. Ana Bilim Dalı: Göğüs Cerrahisi Ana Bilim Dalı
  12. Bilim Dalı: Belirtilmemiş.
  13. Sayfa Sayısı: 73

Özet

In our study, 51 males, 6 females, mean age 57 (min: 22 - max: 76) who underwent sleeve lung resection between July 1999 and May 2011 in the 2nd Surgery Clinic of Yedikule Chest Diseases and Thoracic Surgery Training and Research Hospital. We analyzed 57 bronchogenic cancer cases with Patients who underwent sleeve resection as an alternative to pneumonectomy in order to preserve intact lung parenchyma in bronchogenic tumors of the lung were evaluated in terms of indications, technique, complications, morbidity and mortality rates. In conclusion, we found that complications and mortality increased in patients who had additional disease, especially diabetes, received neoadjuvant therapy, had locally advanced lung cancer (T4 and N2 status), and underwent standard non-lobar sleeve resection. Control of additional diseases before sleeve lung resections, more intensive preoperative evaluation of patients with neoadjuvant therapy and locally advanced lung cancer will reduce complications. Complication rates decrease as the number of cases increases in bronchoplastic procedures that require surgical experience. Sleeve resections for bronchogenic lung cancers are a method that should be preferred when technically feasible.

Özet (Çeviri)

We analyzed 57 bronchogenic cancer cases with 51 males, 6 females, mean age 57 (min: 22 - max: 76) who underwent sleeve lung resection between July 1999 and May 2011 in the 2nd Surgery Clinic of Yedikule Chest Diseases and Thoracic Surgery Training and Research Hospital. Patients who underwent sleeve resection as an alternative to pneumonectomy in order to preserve intact lung parenchyma in bronchogenic tumors of the lung were evaluated in terms of indications, technique, complications, morbidity and mortality rates. In conclusion, we found that complications and mortality increased in patients who had additional disease, especially diabetes, received neoadjuvant therapy, had locally advanced lung cancer (T4 and N2 status), and underwent non-standard sleeve resection. Control of additional diseases before sleeve lung resections, more intensive preoperative evaluation of patients with neoadjuvant therapy and locally advanced lung cancer will reduce complications. Complication rates decrease as the number of cases increases in bronchoplastic procedures that require surgical experience. Sleeve resections for bronchogenic lung cancers are a method that should be preferred when technically feasible.

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