BRONCHIECTASIS CASE ABOUT RESECTION WITH SURGICAL BILATERAL VIDEOTHORACOSCOPIC

Yıl 2016, Cilt: 30 Sayı: 3, 173 - 176, 01.12.2016

Ümit Aydoğmus Erhan Uğurlu Figen Türk Gökhan Yüncü

Öz

Treatment of abnormal and permanent expansion of bronchia in the case of bronchiectasis varies according to the prevalence and etiology of the disease, and type of abnormality. In this study, case of bronchiectasis with videothoracoscopic consecutive bilateral surgery is performed. In the thoracic computerized tomography, tubular and varicose bronchiectasis were observed in the medial segment of the middle lobe of the right lung and lingular segment of the left lung, and also varicose and tubular bronchiectatic areas were found in the mediobazal, posterobasal and laterobasal segment bronchus of the left inferior lobe. Right middle lobectomy was performed by three port incision. On day 27, left videothoracoscopic consecutive bilateral surgery was performed. Left lingulectomy was completed with three port incision, and then it has been performed lower lobe common basal segmentectomy while maintaining lower superior segment. For appropriate patients, VYGC can be preferable, because of shorter time of bilateral surgery, rapid postoperative recovery, and less chronic pain problems.

Anahtar Kelimeler

Bronchiectasis, videothoracoscopic surgery, resection

BİLATERAL VİDEOTORAKOSKOPİK CERRAHİ İLE REZEKE EDİLEN BRONŞEKTAZİ OLGUSU

Öz

Bronşların anormal ve kalıcı genişlemesi olan bronşektazi de tedavi hastalığın yaygınlığına, etiyolojisine ve anormalliğin tipine göre değişmektedir. Burada bilateral ardışık videotorakoskopik cerrahi (VYGC) uygulanan bir bronşektazi olgusu sunulmuştur. Toraks tomografisinde: “Sağ akciğer orta lob medial segmentte ve sol akciğer lingular segmentte tübüler ve variköz bronşektaziler, sol alt lob mediobazal, posterobazal ve laterobazal segment bronşlarında variköz ve tübüler bronşektazik alanlar izlendi”. Üç port insizyonla sağ orta lobektomi yapıldı. Yirmi yedinci günde sol VYGC yapıldı. Üç port insizyonla önce sol lingulektomi tamamlandı, sonrasında alt superior segment korunarak alt lob common bazal segmentektomi uygulandı. VYGC, bilateral cerrahi girişim arasındaki süreyi kısaltması, postoperatif derlenmenin çabuk olması, kronik ağrı probleminin daha az olması nedeniyle, uygun hastalarda tercih edilebilir.

Anahtar Kelimeler

Bronşektazi, videotorakoskopik cerrahi, rezeksiyon

Kaynakça

• 1. Balkanli K, Genç O, Dakak M, Gürkök S, Gözübüyük A, Caylak H, Yücel O. Surgical management of bronchiectasis: analysis and short-term results in 238 patients. Eur J Cardiothorac Surg 2003; 24: 699-702.
• 2. Caylak H, Genc O, Kavakli K, Gurkok S, Gozubuyuk A, Yucel O, Sapmaz E, Cubuk S, Isik H. Surgical management of bronchiectasis: a collective review of 339 patients with long-term follow-up. Thorac Cardiovasc Surg 2011; 59: 479-83.
• 3. Mazières J, Murris M, Didier A: Limited operation for severe multisegmental bilateral bronchiectasis. Ann Thorac Surg 2003; 75: 382-87.
• 4. Sehitogullari A, Bilici S, Sayir F, Cobanoglu U, Kahraman A. A long-term study assessing the factors influencing survival and morbidity in the surgical management of bronchiectasis. J Cardiothorac Surg 2011; 6: 161.
• 5. Zhang P, Zhang F, Jiang S, Jiang G, Zhou X, Ding J, Gao W. Video-assisted thoracic surgery for bronchiectasis. Ann Thorac Surg 2011; 91: 239-43.
• 6. Agasthian T, Deschamps C, Trastek VF, Allen MS, Pairolero PC. Surgical management of bronchiectasis. Ann Thorac Surg 1996; 62: 976-78.
• 7. Weber A, Stammberger U, Inci I, Schmid RA, Dutly A, Weder W. Thoracoscopic lobectomy for benign disease–a single centre study on 64 cases. Eur J Cardiothorac Surg 2001; 20: 443– 48.