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Pneumonectomy in destroyed lung cases

Year 2012, , 81 - 85, 01.06.2012
https://doi.org/10.5505/sakaryamj.2012.33042

Abstract

Background: ''Destroyed lung'' is used as a term in when there is widespread destruction of a lung occured as a result of pulmonary infectious diseases. In this study we aim to evaluate underlying diseases, clinical features, treatment modalities and results in patients of destroyed lungs in the light of literature.Material and method: Retrospectively we reviewed 10 patients who had diagnosis of destroyed lung and treated with pneumonectomy in our clinic between January 2000 and December 2010. Patients' age, sex, underlying pulmonary disease, symptoms, localization of destroyed lung, diagnosis, treatment modality, morbidity and mortality rates and duration of hospital stay were revised.Results: 5 patients were male and 5 female. Ages was between 11 and 55 and mean age was 22.7. Tuberculosis was detected in 3 cases. Destroyed lung was on left side in 8 cases, and on right side in 2 cases. Pneumonectomy was performed on left side in 8 cases and on right side in 2 cases. Chylothorax in one case and stasis of secretion in one case was observed postoperatively. There were no mortality in any cases. Postoperative length of hospital duratin was 12.6 days in mean (6-36 days). During folllow up we observed improvements of symptoms in all patients.Conclusion: Although seeing rarely destroyed lung can cause serious complications such as massive hemoptysis, secondary fungal infections, secondary amiloidosis, and pulmonary-systemic shunt. Resection is required absolutely in these cases for avoiding serious complications and correcting symptoms despite being high mortality and morbidity risk.

References

  • Yalçınkaya İ, Özbay B. Harap akciğer (iki olgu sunumu). Van Tıp Der. 2001; 8: 79-81.
  • Kosar A, Orki A, Kiral H, Demirhan R, Arman B. Pneumonectomy in children fordestroyed lung: evaluation of 18 cases. Ann Thorac Surg. 2010; 89: 226-31.
  • Kim YT, Kim HK, Sung SW, Kim JH. Long-term outcomes and risk factor analysis after pneumonectomy for active and sequela forms of pulmonary tuberculosis. Eur J Cardiothorac Surg. 2003; 23: 833-9.
  • Eren S, Eren MN, Balci AE. Pneumonectomy in children for destroyed lung and the long-term consequences. J Thorac Cardiovasc Surg. 2003; 126: 574–81.
  • Tanaka H, Matsumura A, Okumura M, Iuchi K. Pneumonectomy for unilateral destroyed lung with pulmonary hypertension due to systemic blood flow through bronchopulmonary shunts. Eur J Cardiothorac Surg 2005; 28: 389 –93.
  • Halezeroglu S, Keles M, Uysal A, et al. Factors affecting postoperative morbidity and mortality in destroyed lung. Ann Thorac Surg 1997; 64: 1635-1638.
  • Conlan AA, Lukanich JM, Shutz J, Hurwitz SS. Elective pneumonectomy for benign lung disease: modern-day mortality and morbidity. J Thorac Cardiovasc Surg 1995; 110: 1118-24.
  • Ashour M, Pandya L, Mezraqji A, Qutashat W, Desouki M, Sharif NA, et al. Unilateral post-tuberculous lung destruction: the left bronchus syndrome. Thorax. 1990;45: 210–12.
  • Reed CE. Pneumonectomy for chronic infection: fraught with danger? Ann Thorac Surg 1995; 59: 408 –11.
  • Massard G, Dabbagh A, Wihlm JM, et al. Pneumonectomy for chronic infection is a high-risk procedure. Ann Thorac Surg 1996; 62: 1033– 8.
  • Olgac G, Yilmaz MA, Ortakoylu MG, Kutlu CA. Decision-making for lung resection in patients with empyema and collapsed lung due to tuberculosis. J Thorac Cardiovasc Surg. 2005; 130: 131- 135.
  • Özdülger A, Köksel O, Dikmengil M. Dirençli akciğer tüberkülozunda cerrahinin yeri. TGKDCD 1999; 7: 465-8.
  • Steven MS, de Villiers SJ, Stanton JJ, Steyn FJ. Pneumonectomy for severe inflammatory lung disease. Results in 64 consecutive cases. Eur J Cardiothorac Surg 1988; 2: 282–6.
  • Blyth DF. Pneumonectomy for inflammatory lung disease. Eur J Cardiothorac Surg 2000; 18: 429 –34.

Harap Olmuş Akciğer Olgularında Pnömonektomi

Year 2012, , 81 - 85, 01.06.2012
https://doi.org/10.5505/sakaryamj.2012.33042

Abstract

Amaç: Pulmoner enfeksiyöz hastalıklar sonucu meydana gelen yaygın akciğer destrüksiyonu için "harap akciğer" terimi kullanılmaktadır. Bu çalışmada harap akciğerli olgularda altta yatan hastalıklar, klinik özellikleri, tedavi biçimleri ve sonuçlarının literatür verileri ışığında değerlendirilmesi amaçlandı. Gereç ve Yöntem: Ocak 2000 ve Aralık 2010 yılları arasında kliniğimizde harap akciğer tanısı alıp pnömonektomi ile tedavi edilen 10 hasta geriye dönük olarak incelendi. Hastaların yaşı, cinsiyeti, altta yatan pulmoner hastalık, semptomlar, harap akciğerin lokalizasyonu, teşhisi, tedavi biçimi ve morbidite ve mortalite oranları ile hastane yatış süreleri gözden geçirildi. Bulgular: Olguların 5'i erkek, 5'i kadındı. Yaşları 11 ile 55 arasında değişmekte olup ortalama yaş 22.7 idi. Olgulardan üçünde tüberküloz tespit edildi. Harap akciğer 8 olguda sol tarafta, iki olguda sağ taraftaydı. Olgulardan sekizine sol pnömonektomi, ikisine sağ pnömonektomi uygulandı. Postoperatif bir olguda şilotoraks, bir olguda ise sekresyon stazı gözlendi. Olguların hiçbirinde mortalite gözlenmedi. Postoperatif hastane yatış süresi ortalama 12.6 (6-36 gün) gün idi. Hastaların tümünde takipte semptomlarda düzelme olduğu gözlendi. Sonuç: Harap akciğer nadir görülmesine rağmen masif hemoptizi, sekonder fungal enfeksiyonlar, sekonder amiloidozis veya pulmoner-sistemik şant gibi ciddi komplikasyonlara yol açabilmektedir. Yüksek morbidite ve mortalite riski bulunmasına rağmen ciddi komplikasyonlardan korunmak ve hastanın semptomlarını düzeltmek için bu olgularda mutlaka rezeksiyon gereklidir.

References

  • Yalçınkaya İ, Özbay B. Harap akciğer (iki olgu sunumu). Van Tıp Der. 2001; 8: 79-81.
  • Kosar A, Orki A, Kiral H, Demirhan R, Arman B. Pneumonectomy in children fordestroyed lung: evaluation of 18 cases. Ann Thorac Surg. 2010; 89: 226-31.
  • Kim YT, Kim HK, Sung SW, Kim JH. Long-term outcomes and risk factor analysis after pneumonectomy for active and sequela forms of pulmonary tuberculosis. Eur J Cardiothorac Surg. 2003; 23: 833-9.
  • Eren S, Eren MN, Balci AE. Pneumonectomy in children for destroyed lung and the long-term consequences. J Thorac Cardiovasc Surg. 2003; 126: 574–81.
  • Tanaka H, Matsumura A, Okumura M, Iuchi K. Pneumonectomy for unilateral destroyed lung with pulmonary hypertension due to systemic blood flow through bronchopulmonary shunts. Eur J Cardiothorac Surg 2005; 28: 389 –93.
  • Halezeroglu S, Keles M, Uysal A, et al. Factors affecting postoperative morbidity and mortality in destroyed lung. Ann Thorac Surg 1997; 64: 1635-1638.
  • Conlan AA, Lukanich JM, Shutz J, Hurwitz SS. Elective pneumonectomy for benign lung disease: modern-day mortality and morbidity. J Thorac Cardiovasc Surg 1995; 110: 1118-24.
  • Ashour M, Pandya L, Mezraqji A, Qutashat W, Desouki M, Sharif NA, et al. Unilateral post-tuberculous lung destruction: the left bronchus syndrome. Thorax. 1990;45: 210–12.
  • Reed CE. Pneumonectomy for chronic infection: fraught with danger? Ann Thorac Surg 1995; 59: 408 –11.
  • Massard G, Dabbagh A, Wihlm JM, et al. Pneumonectomy for chronic infection is a high-risk procedure. Ann Thorac Surg 1996; 62: 1033– 8.
  • Olgac G, Yilmaz MA, Ortakoylu MG, Kutlu CA. Decision-making for lung resection in patients with empyema and collapsed lung due to tuberculosis. J Thorac Cardiovasc Surg. 2005; 130: 131- 135.
  • Özdülger A, Köksel O, Dikmengil M. Dirençli akciğer tüberkülozunda cerrahinin yeri. TGKDCD 1999; 7: 465-8.
  • Steven MS, de Villiers SJ, Stanton JJ, Steyn FJ. Pneumonectomy for severe inflammatory lung disease. Results in 64 consecutive cases. Eur J Cardiothorac Surg 1988; 2: 282–6.
  • Blyth DF. Pneumonectomy for inflammatory lung disease. Eur J Cardiothorac Surg 2000; 18: 429 –34.
There are 14 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Yener Aydın This is me

Hasan Kaynar This is me

Yavuz Selim İntepe This is me

Atila Türkyılmaz This is me

Atilla Eroğlu This is me

Publication Date June 1, 2012
Submission Date September 7, 2015
Published in Issue Year 2012

Cite

AMA Aydın Y, Kaynar H, İntepe YS, Türkyılmaz A, Eroğlu A. Harap Olmuş Akciğer Olgularında Pnömonektomi. Sakarya Tıp Dergisi. June 2012;2(2):81-85. doi:10.5505/sakaryamj.2012.33042

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