Erratum: Travmatik olmayan şilotoraksın cerrahi tedavisi ve sonuçları: bir vaka serisi

Year 2024, Volume: 38 Issue: 1, 74 - 94, 23.07.2024

Bahar Ağaoğlu Şanlı , Barış Gülmez , Esra Yamansavci Sirzai , Figen Türk , Serpil Sevinç , Serkan Yazgan

The original article was published on July 23, 2024. https://dergipark.org.tr/en/pub/ighd/issue/84984/1507640

Erratum Note

sayfa numaraları

Abstract

Amaç: Nontravmatik şilotoraks nadir görülen ancak zorlayıcı bir klinik problem olmaya devam etmektedir. Standart bir tedavi algoritması yoktur ve bu nedenle klinik deneyimlerin aktarılması yol göstericidir. Bu olgu serisinde, dokuz nontravmatik şilotoraks olgusunun; tanı, takip ve tedavi sürecindeki cerrahi deneyimlerimizi paylaşmayı amaçladık.
Gereç ve Yöntemler: Nontravmatik şilotoraks kliniği ile başvuran ve daha önce herhangi bir tanısı olmayan dokuz olgunun tanı ve cerrahi tedavi sürecini retrospektif olarak analiz ettik.
Bulgular: Ortalama yaşı 52,8 (27-83) olan dokuz hasta çalışmaya dahil edildi. Şilotoraksın etiyolojisinde en sık sebep malignite saptandı (%44,4). Tüm hastalara torasentezle tanı konuldu ve tüp torakostomi uygulandı. Ardından konservatif tedavi uygulanan bu hastalardan ikisinde (%22,2) tek başına konservatif tedavi yaklaşımı yeterli oldu. Geri kalan yedi (%77,8) hastada ise günlük drenaj 500 cc’nin üzerinde devam etti. Bu hastalarda talk plöredez, somatostatin ve video yardımlı torakoskopik girişim gibi ek prosedürlere ihtiyaç duyuldu.
Sonuç: Tüm nontravmatik şilotoraks hastalarına başlangıçta tüp torakostomi ve konservatif tedavi yaklaşımı önerilir. Başarılı olunmaması durumunda talk plörodez ve/veya somatostatin tedavisi uygulanabilir. Buna rağmen başarı sağlanamazsa, video yardımlı torakoskopik cerrahi ile duktus torasikus ligasyonu düşünülmelidir.
Türkçe Kısa Başlık: Travmatik olmayan şilotoraksın tedavi ve sonuçları

Keywords

şilotoraks, somatostatin analoğu, lenfatik sızıntı, torasentez, VATS

Ethical Statement

var

Erratum: Surgical management and outcomes of nontraumatic chylothorax: a case series

The original article was published on July 23, 2024. https://dergipark.org.tr/en/pub/ighd/issue/84984/1507640

Erratum Note

Abstract

ABSTRACT
Purpose: Nontraumatic chylothorax remains a rare but challenging clinical problem. There is no standard treatment algorithm and therefore the transfer of clinical experience is instructive. In this case series, nine non-traumatic chylothorax cases; We aimed to share our surgical experiences during the diagnosis, follow-up and treatment process.
Material and Methods: We retrospectively analyzed the diagnosis and surgical treatment process of nine cases who presented with non-traumatic chylothorax clinic and had no previous diagnosis.
Results: Nine patients with a mean age of 52.8 (27-83) were included in the study. The most common cause of chylothorax was malignancy (44.4%). All patients were diagnosed by thoracentesis and tube thoracostomy was performed. Conservative treatment approach alone was sufficient in two (22.2%) of these patients who subsequently received conservative treatment. In the remaining seven (77.8%) patients, daily drainage continued to exceed 500 cc. These patients required additional procedures such as talc pleurodesis, somatostatin, and video-assisted thoracoscopic intervention.
Conclusion: Initially, tube thoracostomy and conservative treatment approach are recommended for all non-traumatic chylothorax patients. If unsuccessful, talc pleurodesis and/or somatostatin therapy can be applied. If success is not achieved, ductus thoracicus ligation with video-assisted thoracoscopic surgery should be considered.
Keywords: chylothorax, somatostatin analogue, lymphatic leak, thoracentesis, VATS
Running Title: Treatment and results of non-traumatıc chylothorax

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