The Physiologic and Radiologic Outcomes of Decortication for Chronic Empyema in the Long Term Follow Up: A Retrospective Analysis
Yıl: 2019 Cilt: 9 Sayı: 1 Sayfa Aralığı: 54 - 60 Metin Dili: İngilizce DOI: 10.5505/kjms.2019.95530 İndeks Tarihi: 22-05-2020
The Physiologic and Radiologic Outcomes of Decortication for Chronic Empyema in the Long Term Follow Up: A Retrospective Analysis
Öz: Aim: Chronic empyema due to non-specific or tuberculosis lead toboth decrease in pulmonary functions and distortions of the radiologic views. Decortication either through video assisted thoracicsurgery (VATS) or open thoracotomy is the last resort of treatment.The study aims to evaluate the spirometry and radiologic outcomes of decortication of patients with chronic empyema.Material and Method: The study included all patients who haddecortication due to thoracic empyema between 2010 and 2016.Besides routine clinical evaluation spirometry analyses and radiologic evaluation with thoracic computerized tomography (CT)were performed in all patients. Either open thoracotomy withmuscle sparing technique or VATS were performed to removethickened parietal pleura and to decorticate the thickened pleuratrapping the lung parenchyma. Change in the spirometry parameters were calculated. The improvement in the radiologic appearance were classified as satisfactory, moderately satisfactory, andunsatisfactory.Results: A total of 104 patients comprised the study population.Sixty-eight of the cases (65%) were male and the mean age of patients was 38.61±17.38 years. Operation site was equally distributed. Non-specific microorganisms were the dominant etiologicagents rather tuberculosis. All spirometry parameters improvedsignificantly. Both forced expiratory volume in one second (FEV1)and forced vital capacity (FVC) values increased after the decortication significantly. All patients were followed at least for 2 years.Most of the cases showed satisfactory results (92 cases, 88%), 9patients improved moderately (8.6%), and only 3 patients (3%) hadunsatisfactory radiologic evaluation.Conclusion: Decortication either through open thoracotomy orVATS approach is very effective treatment method to improve thespirometry parameters and restore the distorted radiologic appearances in patients with chronic empyema.
Anahtar Kelime: Konular:
Kronik Ampiyem Nedeni İle Yapılan Dekortikasyonun Fizyolojik ve Radyolojik Uzun Dönem Sonuçları: Retrospektif Çalışma
Öz: Amaç: Tüberküloz veya non-spesifik enfeksiyonlarnedenli kronik ampiyem hem akciğer fonksiyonlarında azalmaya hem de radiolojik bozulmalara yol açar. Açık vaya video yardımlı torasik cerrahi (VATS) yoluyla yapılan dekortikasyon en son başvurulan tedavi yöntemidir. Bu çalışmanın amacı kronik ampiyem nedeni ile dekortikasyon yapılan hastaların akciğer fonksiyonlarındaki ve radyolojik görünümlerindeki değişimlerin incelenmesidir. Materyal ve Metot: Bu çalışmaya 2010 ile 2016 yılları arasında kronik ampiyem nedeni ile dekortikasyon uygulanan hastalar dahil edilmiştir. Bütün hastalarda rutin klinik tetkiklerin yanısıra spirometry analizleri ve bilgisayarlı toraks tomografileri (BT) değerlendirilmiştir. Kalınlaşmış parietal plevrayı rezeke etmek ve akciğeri saran korteksi soymak için ya açık torakotomi ya da VATS yöntemi kullanıldı. Spirometri değerlerindeki değişimler hesaplandı. Radiolojik görünümdeki iyileşmeler tatminkar, orta tatminkar ve tatminkar değil olarak derecelendirildi. Bulgular: Çalışmaya 104 hasta alındı. Hastaların 68’i (%65) erkek olup yaş ortalaması 38,61±17,38 olarak hesaplandı. Operasyon tarafı eşit dağılımlıydı. Non-spesifik mikroorganizmalar tüberküloza göre daha baskın etiolojik ajanlardı. Hem birinci saniyedeki zorlu hacim (FEV1) hem de zorlu vital kapasite (FVC) operasyondan sonra anlamlı olarak iyileşme gösterdi. Bütün hastalar en az 2 yıl takip edildi. Radyolojik değerlendirmede hastaların çoğu (92 hasta, %88) tatminkar, 9 hasta (%8,6) orta derecede tatminkar ve 3 (%3) olgu da tatminkar olmayan olarak sonuçlandı. Sonuç: Açık veya VATS yoluyla yapılan dekortikasyon kronik ampiyemli hastaların tedavisinde spirometry değerlerinde iyileşme sağlayan ve radyolojik bozulmaları iyileştiren etkili bir tedavi yöntemidir.
Anahtar Kelime: Konular:
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | Kutluk A, AKIN H, EROĞLU H (2019). The Physiologic and Radiologic Outcomes of Decortication for Chronic Empyema in the Long Term Follow Up: A Retrospective Analysis. , 54 - 60. 10.5505/kjms.2019.95530 |
| Chicago | Kutluk Ali Cevat,AKIN Hasan,EROĞLU Halil İbrahim The Physiologic and Radiologic Outcomes of Decortication for Chronic Empyema in the Long Term Follow Up: A Retrospective Analysis. (2019): 54 - 60. 10.5505/kjms.2019.95530 |
| MLA | Kutluk Ali Cevat,AKIN Hasan,EROĞLU Halil İbrahim The Physiologic and Radiologic Outcomes of Decortication for Chronic Empyema in the Long Term Follow Up: A Retrospective Analysis. , 2019, ss.54 - 60. 10.5505/kjms.2019.95530 |
| AMA | Kutluk A,AKIN H,EROĞLU H The Physiologic and Radiologic Outcomes of Decortication for Chronic Empyema in the Long Term Follow Up: A Retrospective Analysis. . 2019; 54 - 60. 10.5505/kjms.2019.95530 |
| Vancouver | Kutluk A,AKIN H,EROĞLU H The Physiologic and Radiologic Outcomes of Decortication for Chronic Empyema in the Long Term Follow Up: A Retrospective Analysis. . 2019; 54 - 60. 10.5505/kjms.2019.95530 |
| IEEE | Kutluk A,AKIN H,EROĞLU H "The Physiologic and Radiologic Outcomes of Decortication for Chronic Empyema in the Long Term Follow Up: A Retrospective Analysis." , ss.54 - 60, 2019. 10.5505/kjms.2019.95530 |
| ISNAD | Kutluk, Ali Cevat vd. "The Physiologic and Radiologic Outcomes of Decortication for Chronic Empyema in the Long Term Follow Up: A Retrospective Analysis". (2019), 54-60. https://doi.org/10.5505/kjms.2019.95530 |
| APA | Kutluk A, AKIN H, EROĞLU H (2019). The Physiologic and Radiologic Outcomes of Decortication for Chronic Empyema in the Long Term Follow Up: A Retrospective Analysis. Kafkas Tıp Bilimleri Dergisi, 9(1), 54 - 60. 10.5505/kjms.2019.95530 |
| Chicago | Kutluk Ali Cevat,AKIN Hasan,EROĞLU Halil İbrahim The Physiologic and Radiologic Outcomes of Decortication for Chronic Empyema in the Long Term Follow Up: A Retrospective Analysis. Kafkas Tıp Bilimleri Dergisi 9, no.1 (2019): 54 - 60. 10.5505/kjms.2019.95530 |
| MLA | Kutluk Ali Cevat,AKIN Hasan,EROĞLU Halil İbrahim The Physiologic and Radiologic Outcomes of Decortication for Chronic Empyema in the Long Term Follow Up: A Retrospective Analysis. Kafkas Tıp Bilimleri Dergisi, vol.9, no.1, 2019, ss.54 - 60. 10.5505/kjms.2019.95530 |
| AMA | Kutluk A,AKIN H,EROĞLU H The Physiologic and Radiologic Outcomes of Decortication for Chronic Empyema in the Long Term Follow Up: A Retrospective Analysis. Kafkas Tıp Bilimleri Dergisi. 2019; 9(1): 54 - 60. 10.5505/kjms.2019.95530 |
| Vancouver | Kutluk A,AKIN H,EROĞLU H The Physiologic and Radiologic Outcomes of Decortication for Chronic Empyema in the Long Term Follow Up: A Retrospective Analysis. Kafkas Tıp Bilimleri Dergisi. 2019; 9(1): 54 - 60. 10.5505/kjms.2019.95530 |
| IEEE | Kutluk A,AKIN H,EROĞLU H "The Physiologic and Radiologic Outcomes of Decortication for Chronic Empyema in the Long Term Follow Up: A Retrospective Analysis." Kafkas Tıp Bilimleri Dergisi, 9, ss.54 - 60, 2019. 10.5505/kjms.2019.95530 |
| ISNAD | Kutluk, Ali Cevat vd. "The Physiologic and Radiologic Outcomes of Decortication for Chronic Empyema in the Long Term Follow Up: A Retrospective Analysis". Kafkas Tıp Bilimleri Dergisi 9/1 (2019), 54-60. https://doi.org/10.5505/kjms.2019.95530 |
