Yıl: 2020 Cilt: 73 Sayı: 2 Sayfa Aralığı: 149 - 154 Metin Dili: İngilizce DOI: 10.4274/atfm.galenos.2019.28247 İndeks Tarihi: 14-11-2020

Thoracoscopic Lobectomy and Segmentectomy in Children

Öz:
Objectives: In the last decade, video-assisted thoracoscopic surgery (VATS) is gaining broad popularity in pediatric surgery. The purpose of this studyis to analyze the clinical and histopathological results of VATS in pediatric population in a minimum 1-year follow-up period.Materials and Methods: All patients undergoing an elective lobectomy or segmentectomy with VATS were enrolled for the study. Medical chartsof the enrolled patients were retrospectively evaluated and the data of the patients who met the inclusion criteria were extracted for the finalanalysis. Patients’ demographics including gender and age, indications for VATS and past surgical history, preoperative investigations, comorbidities,intraoperative findings, operative data, postoperative course including any morbidity and mortality were recorded.Results: There were 26 patients (13 males, 13 females). The main indication for VATS was congenital pulmonary airway malformation (10 patients).There were only two segmentectomies. The remaining 24 patients had undergone lobectomies. Only two patients had multi-lobectomies. In fourpatients, conversion to thoracotomy was required because of bleeding and inadequate exposure. The mean operation time was 107 mins. Chest tubewas placed in all of the patients and removed between the postoperative 2nd and 10th days (median=4 days) and the average discharge time was 5.7days (3-12 days).Conclusion: VATS is a safe and effective surgical procedure not only for the adults but also for the pediatric population. It has low complicationrates with faster recovery time especially for the pediatric cases that have malignancies.
Anahtar Kelime:

Çocuklarda Torakoskopik Lobektomi ve Segmentektomi

Öz:
Amaç: Video yardımlı torakoskopik cerrahi (VATS), çocuk cerrahisinde son on yılda büyük popülerlik kazanmıştır. Bu çalışmanın amacı, pediyatrik popülasyonda VATS’nin klinik ve histopatolojik sonuçlarını minimum 1 yıllık takip süresinde analiz etmektir. Gereç ve Yöntem: VATS ile elektif lobektomi veya segmentektomi yapılan tüm hastalar çalışmaya alındı. Kayıtlı hastaların tıbbi çizelgeleri retrospektif olarak değerlendirildi ve dahil edilme kriterlerini karşılayan hastaların verileri analiz için çıkarıldı. Hastaların cinsiyet, yaş, VATS ve geçirilmiş cerrahi öykü endikasyonları, preoperatif incelemeler, komorbiditeler, intraoperatif bulgular, operatif veriler, herhangi bir morbidite ve mortalite dahil olmak üzere postoperatif seyri içeren demografik özellikleri kaydedildi. Bulgular: Çalışmaya 26 hasta (13 erkek, 13 kadın) dahil edildi. VATS için konjenital pulmoner hava yolu malformasyonu (10 hasta) ana endikasyondu. Sadece iki hastaya segmentektomi yapıldı. Kalan 24 hastaya lobektomi uygulandı. Sadece iki hastada multi-lobektomi yapıldı. Dört hastada kanama ve yetersiz görüş olması nedeniyle torakotomiye dönüldü. Ortalama ameliyat süresi 107 dakika idi. Tüm hastalara göğüs tüpü koyuldu ve ameliyat sonrası 2-10 gün (ortanca=4 gün) içerisinde çekildi ve ortalama taburcu süresi 5,7 gün (3-12 gün) idi. Sonuç: VATS, sadece yetişkinler için değil aynı zamanda çocuklar için de güvenli ve etkili bir cerrahi işlemdir. Özellikle malignitesi olan pediyatrik hastalarda komplikasyonu düşük, iyileşme süresi daha hızlı olan bir yöntemdir.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA Ates U, tastekin n, ergun e, Bahadır K, Gollu G, bingöl-koloğlu m, aktuğ t, dindar h, yagmurlu a (2020). Thoracoscopic Lobectomy and Segmentectomy in Children. , 149 - 154. 10.4274/atfm.galenos.2019.28247
Chicago Ates Ufuk,tastekin nil yasam,ergun ergun,Bahadır Kutay,Gollu Gulnur,bingöl-koloğlu meltem,aktuğ tanju,dindar hüseyin,yagmurlu aydin Thoracoscopic Lobectomy and Segmentectomy in Children. (2020): 149 - 154. 10.4274/atfm.galenos.2019.28247
MLA Ates Ufuk,tastekin nil yasam,ergun ergun,Bahadır Kutay,Gollu Gulnur,bingöl-koloğlu meltem,aktuğ tanju,dindar hüseyin,yagmurlu aydin Thoracoscopic Lobectomy and Segmentectomy in Children. , 2020, ss.149 - 154. 10.4274/atfm.galenos.2019.28247
AMA Ates U,tastekin n,ergun e,Bahadır K,Gollu G,bingöl-koloğlu m,aktuğ t,dindar h,yagmurlu a Thoracoscopic Lobectomy and Segmentectomy in Children. . 2020; 149 - 154. 10.4274/atfm.galenos.2019.28247
Vancouver Ates U,tastekin n,ergun e,Bahadır K,Gollu G,bingöl-koloğlu m,aktuğ t,dindar h,yagmurlu a Thoracoscopic Lobectomy and Segmentectomy in Children. . 2020; 149 - 154. 10.4274/atfm.galenos.2019.28247
IEEE Ates U,tastekin n,ergun e,Bahadır K,Gollu G,bingöl-koloğlu m,aktuğ t,dindar h,yagmurlu a "Thoracoscopic Lobectomy and Segmentectomy in Children." , ss.149 - 154, 2020. 10.4274/atfm.galenos.2019.28247
ISNAD Ates, Ufuk vd. "Thoracoscopic Lobectomy and Segmentectomy in Children". (2020), 149-154. https://doi.org/10.4274/atfm.galenos.2019.28247
APA Ates U, tastekin n, ergun e, Bahadır K, Gollu G, bingöl-koloğlu m, aktuğ t, dindar h, yagmurlu a (2020). Thoracoscopic Lobectomy and Segmentectomy in Children. Ankara Üniversitesi Tıp Fakültesi Mecmuası, 73(2), 149 - 154. 10.4274/atfm.galenos.2019.28247
Chicago Ates Ufuk,tastekin nil yasam,ergun ergun,Bahadır Kutay,Gollu Gulnur,bingöl-koloğlu meltem,aktuğ tanju,dindar hüseyin,yagmurlu aydin Thoracoscopic Lobectomy and Segmentectomy in Children. Ankara Üniversitesi Tıp Fakültesi Mecmuası 73, no.2 (2020): 149 - 154. 10.4274/atfm.galenos.2019.28247
MLA Ates Ufuk,tastekin nil yasam,ergun ergun,Bahadır Kutay,Gollu Gulnur,bingöl-koloğlu meltem,aktuğ tanju,dindar hüseyin,yagmurlu aydin Thoracoscopic Lobectomy and Segmentectomy in Children. Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol.73, no.2, 2020, ss.149 - 154. 10.4274/atfm.galenos.2019.28247
AMA Ates U,tastekin n,ergun e,Bahadır K,Gollu G,bingöl-koloğlu m,aktuğ t,dindar h,yagmurlu a Thoracoscopic Lobectomy and Segmentectomy in Children. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2020; 73(2): 149 - 154. 10.4274/atfm.galenos.2019.28247
Vancouver Ates U,tastekin n,ergun e,Bahadır K,Gollu G,bingöl-koloğlu m,aktuğ t,dindar h,yagmurlu a Thoracoscopic Lobectomy and Segmentectomy in Children. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2020; 73(2): 149 - 154. 10.4274/atfm.galenos.2019.28247
IEEE Ates U,tastekin n,ergun e,Bahadır K,Gollu G,bingöl-koloğlu m,aktuğ t,dindar h,yagmurlu a "Thoracoscopic Lobectomy and Segmentectomy in Children." Ankara Üniversitesi Tıp Fakültesi Mecmuası, 73, ss.149 - 154, 2020. 10.4274/atfm.galenos.2019.28247
ISNAD Ates, Ufuk vd. "Thoracoscopic Lobectomy and Segmentectomy in Children". Ankara Üniversitesi Tıp Fakültesi Mecmuası 73/2 (2020), 149-154. https://doi.org/10.4274/atfm.galenos.2019.28247