BENÝGN HASTALIKLARDA PNÖMONEKTOMÝ

Benign akciðer hastalýklarýnda intraoperatif ve postoperatif komplikasyonlar nedeniyle pnömo-nektomiden kaçýnma eðilimi mevcuttur. Mayýs 2000 ile Ocak 2007 tarihleri arasýnda benign akciðer hastalýklarý nedeni ile kliniðimizde cerrahi giriþim uygulanan 157 hasta retrospektif olarak incelendi. Bunlarýn 14'ünde uygun cerrahi rezeksiyon seçeneði pnömonektomiydi. Bu olgular, yaþ, cins, etyoloji, yapýlan operasyon açýsýndan sýnýflandýrýlarak, postoperatif komplikasyonlarý deðerlendirildi. Post operatif mortalite oranlarý hesaplandý. Hastalarýn sekizi erkek altýsý kadýn, yaþ ortalamasý 41.64 (± 25.36) idi. Olgulara, Hamartom, Karsinoid Tümör, Bronþektazi, Harap olmuþ Akciðer, Akciðer Absesi, Aspergilloma, Tüberküloz tanýlarýyla yedisi sað yediside sol olmak üzere pnömonektomi operasyonlarý uygulandý. Postoperatif dördüncü günde bir olgu kaybedilirken, iki olguda geç dönem bronkoplevral fistül saptandý. Diðer olgularda herhangi bir komplikasyon izlenmedi. Ortalama hastanede kalýþ süresi 15.5 gün (±10.5 gün) olarak saptandý. Mortalite oraný %7.13, Morbidite oraný %14.2 olarak hesaplandý. Sonuçta, benign akciðer lezyonlarýnda pnömonektominin, mortalite ve morbidite riski nedeniyle tercih edilmemekle beraber, zorunlu hallerde uygulanabilecek bir tedavi yöntemi olduðu kanýsýndayýz.

PNEUMONECTOMY FOR BENIGN DISEASES

Surgeons usually abstain from the pneumonectomy for the benign lung disease because of the intraoperative and postoperative complications. But it is applied in the necessary attitude. Between May 2000 and January 2007, 157 consecutive patients which were underwent surgical resection for benign lung disease were rewieved retrospectively. Pneumonectomy was approve of the surgical procedure in the 14 of these patients. Patients were classified to age, sex, etiologic factors, surgical procedure which was underwent and postoperative complications were evaluated retrospectively. Postoperative mortality rates were calculated. Eight patients were male and age average was 41.64 (± 25.36). The pneumonectomy operations (seven of them left side, seven of them right side) performed to patients whose diagnosis are hamartoma, carcinoid tumor, bronchiectasis, destroyed lung, lung abscess, aspergilloma and tuberculosis. One patient died at the fourth post operative day. Bronchopleural fistula was found in two patients. Any complication was not seen in the other patients. Main of hospitalization day was 15.5 (± 10.5 day). The ratio of mortality and morbidity was calculated respectively 7.13% and 14.2%. As a result, we tought that pneumonectomy cannot be prefered in benign lung lesions because of high mortality and morbidity ratios but, it can be used in obligatory situations as a treatment method.