Yıl: 2011 Cilt: 49 Sayı: 3 Sayfa Aralığı: 105 - 109 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Current therapies for pulmonary hydatid cyst and its complications

Öz:
Amaç: Bu çalışmada, akciğer hidatik kisti tanısıyla cerrahi tedavi uygulanan hastaların ilk başvuru şikayetlerinin ve ameliyat sonuçlarının irdelenmesi ve ayrıca karaciğer hidatik kist oranının belirlenmesi amaçlanmıştır.Yöntemler: Çalışmaya, 2004-2008 yılları arasında akciğer hidatik kisti tanısı ile öpere edilen toplam 70 hasta dahil edildi. Bu hastaların klinik, radyolojik ve cerrahi tedavi ile ilgili özellikleri retrospek-tif olarak değerlendirildi.Bulgular: Hastaların 30'unda kist/kistler perfore, 40 hastada intakt idi. 70 hastanın 35'i sağ 29'u sol da yerleşimli üç hastada ise bilateral akciğer kisti bulunmaktaydı. Hastaların 49'una kistektomi ve kapito-naj (%70) operasyonu uygulanırken, yedi hastaya kistektomi iki hastaya ise wedge rezeksiyon uygulandı. Perfore kistlerin %23'ü (7 hasta) hastaneye klinik ve radyolojik olarak pnömotoraks/hidropnö-motoraks bulgularıyla başvurdu. Hastaların dokuzunda komplikasyon gelişirken en sık görülen komplikasyon atelektazi idi. Sonuç: Akciğer kist hidatiğinin güncel tedavisinde parankim koruyucu cerrahi yaklaşım etkili ve güvenilir bir tedavi seçeneğidir. Eşlik eden karaciğer kubbe kistlerine aynı seansta müdahale edilebilmektedir. Perfore kistlerin pnömotoraks bulgularıyla acil kliniklere başvurabilecekleri akılda tutulmalıdır.
Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Akciğer hid atik kistinin güncel tedavisi ve komplikasyonları

Öz:
Aim: In this study, we aimed to investigate the first presenting complaints and operative results of patients who were operated for lung hydatid cyst and to determine the rate of co-existing liver hydatid cysts.Methods: Seventy patients who had been operated for lung hydatid cyst between 2004 and 2008 were included in the study. Clinical, radiological and surgical data of these patients were evaluated retrospectively.Results: The cyst(s) were perforated in 30 patients and were intact in 40 patients. They were right-sided in 35 patients, left-sided in 29, and bilateral lung cysts in three patients. Of the patients, 49 (70%) had undergone cystotomy and capitonage, seven patients-cystotomy, and two patients had undergone wedge resection. Of the perforated cysts, 23% presented with clinical and radiological findings of pneumothorax. Complications were observed in nine patients and the most common complication was atelectasis.Conclusion: Parenchyma-sparing surgery is a safe and effective treatment modality for lung hydatid cysts. Accompanying liver dome cysts can be intervened at the same session. The rate of cases with perforated cysts presenting to emergency clinics with findings of pneumothorax should not be overlooked.
Anahtar Kelime:

Konular: Genel ve Dahili Tıp
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA KILIÇGÜN A, GEZER S (2011). Current therapies for pulmonary hydatid cyst and its complications. , 105 - 109.
Chicago KILIÇGÜN Ali,GEZER Suat Current therapies for pulmonary hydatid cyst and its complications. (2011): 105 - 109.
MLA KILIÇGÜN Ali,GEZER Suat Current therapies for pulmonary hydatid cyst and its complications. , 2011, ss.105 - 109.
AMA KILIÇGÜN A,GEZER S Current therapies for pulmonary hydatid cyst and its complications. . 2011; 105 - 109.
Vancouver KILIÇGÜN A,GEZER S Current therapies for pulmonary hydatid cyst and its complications. . 2011; 105 - 109.
IEEE KILIÇGÜN A,GEZER S "Current therapies for pulmonary hydatid cyst and its complications." , ss.105 - 109, 2011.
ISNAD KILIÇGÜN, Ali - GEZER, Suat. "Current therapies for pulmonary hydatid cyst and its complications". (2011), 105-109.
APA KILIÇGÜN A, GEZER S (2011). Current therapies for pulmonary hydatid cyst and its complications. Haseki Tıp Bülteni, 49(3), 105 - 109.
Chicago KILIÇGÜN Ali,GEZER Suat Current therapies for pulmonary hydatid cyst and its complications. Haseki Tıp Bülteni 49, no.3 (2011): 105 - 109.
MLA KILIÇGÜN Ali,GEZER Suat Current therapies for pulmonary hydatid cyst and its complications. Haseki Tıp Bülteni, vol.49, no.3, 2011, ss.105 - 109.
AMA KILIÇGÜN A,GEZER S Current therapies for pulmonary hydatid cyst and its complications. Haseki Tıp Bülteni. 2011; 49(3): 105 - 109.
Vancouver KILIÇGÜN A,GEZER S Current therapies for pulmonary hydatid cyst and its complications. Haseki Tıp Bülteni. 2011; 49(3): 105 - 109.
IEEE KILIÇGÜN A,GEZER S "Current therapies for pulmonary hydatid cyst and its complications." Haseki Tıp Bülteni, 49, ss.105 - 109, 2011.
ISNAD KILIÇGÜN, Ali - GEZER, Suat. "Current therapies for pulmonary hydatid cyst and its complications". Haseki Tıp Bülteni 49/3 (2011), 105-109.