Bronşiyal sleeve lobektomi uygulanan olgularımızın postoperatif erken dönem sonuçları

Year 2024, Volume: 17 Issue: 2, 44 - 49, 01.07.2024

Hıdır Esme , Zübeyir Karakaya

Abstract

Sleeve resections of the lung are a surgical technique for the complete resection of benign or malignant diseases of the airway while preserving as much intact lung parenchyma as possible. This study aims to review the clinical, radiologic, and histopathologic features and early complications of patients who underwent bronchial sleeve lobectomy for non-small cell lung carcinoma (NSCLC) in the last 10 years.
The study included 19 patients who underwent bronchial sleeve lobectomy for NSCLC. Age, gender, smoking, comorbidity, respiratory test, histopathological type, tumor localization, surgery, mediastinal staging, hospital stay, intensive care unit stay, and early postoperative complications were recorded.
The mean age of our patients who underwent bronchial sleeve lobectomy was 55.5 years (46-67). Sixteen (84.2%) of our patients were male and 3 (15.7%) were female. The histopathological diagnosis of our patients who underwent bronchial sleeve lobectomy for NSCLC was squamous cell carcinoma in 10 (52.6%), adenocarcinoma
in 5 (26.3%), large cell carcinoma in 2 (10.5%) and atypical carcinoid tumor in 2 (10.5%). Postoperative complications included atelectasis in 3 patients, prolonged air leak in 3 patients, pneumonia in 2 patients, and anastomotic stenosis in 1 patient.
Bronchial sleeve lobectomy is a safe, parenchyma-sparing procedure with low mortality and morbidity. We think that preoperative smoking cessation is the most effective method to prevent postoperative secretion retention.

Keywords

Sleeve lobektomi, akciğer kanseri, komplikasyonlar

Early postoperative results of our patients who underwent bronchial sleeve lobectomy

Abstract

Objective: Sleeve resections of the lung are a surgical technique for complete resection of benign or malignant diseases of the airway while preserving as much intact lung parenchyma as possible. The aim of this study is to review the clinical, radiologic and histopathologic features and early complications of patients who underwent bronchial sleeve lobectomy for non-small cell lung carcinoma (NSCLC) in the last 10 years.
Materials and Methods: The study included 19 patients who underwent bronchial sleeve lobectomy for NSCLC. Age, gender, smoking, comorbidity, respiratory test, histopathological type, tumor localization, surgery, mediastinal staging, hospital stay, intensive care unit stay and early postoperative complications were recorded.
Results: The mean age of our patients who underwent bronchial sleeve lobectomy was 55.5 years (46-67). Sixteen (84.2%) of our patients were male and 3 (15.7%) were female. The histopathological diagnosis of our patients who underwent bronchial sleeve lobectomy for NSCLC was squamous cell carcinoma in 10 (52.6%), adenocarcinoma in 5 (26.3%), large cell carcinoma in 2 (10.5%) and atypical carcinoid tumor in 2 (10.5%). Postoperative complications included atelectasis in 3 patients, prolonged air leak in 3 patients, pneumonia in 2 patients and anastomotic stenosis in 1 patient.
Conclusion: Bronchial sleeve lobectomy is a safe, parenchyma-sparing procedure with low mortality and morbidity. We think that preoperative smoking cessation is the most effective method to prevent postoperative secretion retention.

Keywords

Sleeve llobectomy, Lung carcinom, complications

Ethical Statement

İbraz edildi

Supporting Institution

Yok

Thanks

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References

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