Prolonged Air Leak After Pleurectomy/Decortication Surgery in Two Patients with COVID-19 Pneumonia

Abstract

Surgical treatment is a part of multimodal treatment in patients with malignant pleural mesothelioma in appropriate clinical stage and medical condition. The pleurectomy/decortication is a surgical technique for mesothelioma and its challenging morbidity is prolonged air leak. In case of prolonged air leakage, both the duration of tube thoracostomy and the risk of its complications increase. An increase in this complication is expected due to reasons such as pleural adhesions developing as a result of exaggerated inflammation in COVID-19 pneumonia and increased susceptibility to tearing in the alveoli. Here, we present the treatment of prolonged air leak after pleurectomy-decortication surgery in 2 cases of malignant pleural mesothelioma who were scheduled for surgery after induction therapy and who developed COVID-19 pneumonia during the preparation process.

Keywords

• COVID-19;
• malignant pleural mesothelioma
• prolonged air leak

COVID-19 Pnömonili İki Hastada Plörektomi/Dekortikasyon Ameliyatı Sonrası Artan Uzamış Hava Kaçağı

Abstract

Malign plevral mezotelyomada uygun klinik evre ve medikal kondisyonlu hastalarda cerrahi tedavi, multimodal tedavinin bir parçasıdır. Plörektomi-dekortikasyon yöntemi, mezotelyoma için uygulanan cerrahilerden biridir ve bu yöntemdeki korkulan morbidite uzamış hava kaçağıdır. Uzamış hava kaçağında tüp torakostomi süresi de uzamakta ve buna bağlı komplikasyon riski de artmaktadır. COVID-19 pnömonisinde abartılı inflamasyon sonucu gelişen plevral yapışıklıklar ve alvelollerdeki yırtılmaya yatkınlık artışı gibi sebeplerle bu komplikasyonda artış beklenen bir durumdur. Burada malign plevral mezotelyoma tanısıyla indüksiyon tedavisi sonrası cerrahi planlanan ve hazırlık sürecinde COVID-19 pnömonisi gelişen 2 olguda, plörektomi-dekortikasyon ameliyatı sonrası uzamış hava kaçağı ve uzamış tüp torakostomi tedavisi sunulmuştur.

Keywords

• COVID-19
• Maling plevral mezotelioma
• Uzamış hava kaçağı

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