Yıl: 2012 Cilt: 20 Sayı: 3 Sayfa Aralığı: 563 - 566 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Surgical treatment of congenital lobar emphysema: A report of nine patients

Öz:
Amaç: Bu çalışmada konjenital lober amfizem (KLA)’li dokuz çocuğa uygulanan cerrahi tedavinin sonuçları sunuldu. Çalışma planı: Mart 1996 - Şubat 2011 tarihleri arasında kliniğimizde KLA tanısı konulan ve pulmoner rezeksiyon uygulanan dokuz çocuk hasta (5 erkek, 4 kız; ort. yaş 19.9 ay; dağılım 40 gün-6 yıl) geriye dönük olarak incelendi. Hastaların semptomları, amfizemli lobun yerleşim yeri, tanısı, tedavi şekli, morbidite ve mortalite oranları ve hastane yatış süreleri gözden geçirildi. Bulgular: Dispne hastaların tümünde vardı, fakat hastalık dördünde ciddi idi. Amfizem üç hastada sağ orta lobda, üç hastada sol üst lobda, bir hastada sağ üst lobda ve bir hastada sol alt lobda tespit edildi. Dokuzuncu ve son hastada ise sağ üst ve orta lob birlikte tutulmuş idi. Konjenital amfizemden etkilenen loblar tüm hastalarda rezeke edildi. Ameliyat sonrası morbidite ve mortalite hiç kimsede gözlenmedi ve ameliyat sonrası ortalama hastane yatış süresi 5.8 (dağılım 3-7 gün) gün idi. Sonuç: Konjenital lober amfizemli çocuklarda pulmoner rezeksiyon düşük morbidite ve mortalite oranları ile hızlı, güvenli ve hastalığı tamamen ortadan kaldıran bir tedavi yöntemidir.
Anahtar Kelime:

Konular: Kalp ve Kalp Damar Sistemi Cerrahi

Konjenital lober amfizemin cerrahi tedavisi: Dokuz olgu sunumu

Öz:
Background: In this study, we aimed to present the outcomes of surgical treatment performed on nine pediatric patients with congenital lobar emphysema (CLE). Methods: Between March 1996 and February 2011, nine children (5 boys, 4 girls; mean age 19.9 months; range 40 days-6 years) diagnosed with CLE who underwent pulmonary resection in our clinic were retrospectively analyzed. The symptoms, localization of the emphysematous lobe, diagnostic work-up, treatment modality, morbidity and mortality rates, and length of hospital stay were reviewed. Results: Dyspnea was present in all of the patients, but it was severe in four patients. Emphysema was detected in the right middle lobe in three patients, the left upper lobe in three patients, the right upper lobe in one patient, and the left lower lobe in one patient. In the ninth and final patient, both the upper and middle right lobes were diseased. For all of the patients, the affected lobes with congenital emphysema were resected. None had postoperative morbidity or mortality, and the mean postoperative length of hospital stay was 5.8 days (range, 3-7 days). Conclusion: Pulmonary resection in children is a treatment modality for CLE with low morbidity and mortality rates that eliminates the disease rapidly, safely and completely.
Anahtar Kelime:

Konular: Kalp ve Kalp Damar Sistemi Cerrahi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Tempe DK, Virmani S, Javetkar S, Banerjee A, Puri SK, Datt V. Congenital lobar emphysema: pitfalls and management. Ann Card Anaesth 2010;13:53-8.
  • 2. Turkyilmaz A, Aydin Y, Erdem AF, Eroglu A, Karaoglanoglu N. Congenital cystic pulmonary malformations in children: our experience with 19 patients. EAJM: 2009;41:15-21.
  • 3. Irving IM. Malformations and acquired lesions of lungs, pleura and mediastinum. In: Lister J, Irving IM. editors. Neonatal surgery. London: Butterworth & Co Ltd; 1990. p. 265-71.
  • 4. Monin P, Didier F, Vert P, Prevot J, Plenat F. Giant lobar emphysema-neonatal diagnosis. Pediatr Radiol 1979;8:259-60.
  • 5. al-Salem AH, Adu-Gyamfi Y, Grant CS. Congenital lobar emphysema. Can J Anaesth 1990;37:377-9.
  • 6. Ozçelik U, Göçmen A, Kiper N, Doğru D, Dilber E, Yalçin EG. Congenital lobar emphysema: evaluation and long-term follow-up of thirty cases at a single center. Pediatr Pulmonol 2003;35:384-91.
  • 7. Olutoye OO, Coleman BG, Hubbard AM, Adzick NS. Prenatal diagnosis and management of congenital lobar emphysema. J Pediatr Surg 2000;35:792-5.
  • 8. Mei-Zahav M, Konen O, Manson D, Langer JC. Is congenital lobar emphysema a surgical disease? J Pediatr Surg 2006;41:1058-61.
  • 9. Berrocal T, Madrid C, Novo S, Gutiérrez J, Arjonilla A, Gómez-León N. Congenital anomalies of the tracheobronchial tree, lung, and mediastinum: embryology, radiology, and pathology. Radiographics 2004;24:e17.
  • 10. Correia-Pinto J, Gonzaga S, Huang Y, Rottier R. Congenital lung lesions-underlying molecular mechanisms. Semin Pediatr Surg 2010;19:171-9.
  • 11. Laberge JM, Puligandla P, Flageole H. Asymptomatic congenital lung malformations. Semin Pediatr Surg 2005;14:16-33.
  • 12. Wallis C. Clinical outcomes of congenital lung abnormalities. Paediatr Respir Rev 2000;1:328-35.
  • 13. Myers NA. Congenital lobar emphisema. Aust NZ J Surg 1969;30:32-5.
  • 14. Williams HJ, Johnson KJ. Imaging of congenital cystic lung lesions. Paediatr Respir Rev 2002;3:120-7.
  • 15. Ulku R, Onat S, Ozçelik C. Congenital lobar emphysema: differential diagnosis and therapeutic approach. Pediatr Int 2008;50:658-61.
APA Aydin Y, ULAŞ A, TÜRKYILMAZ A, EROĞLU A (2012). Surgical treatment of congenital lobar emphysema: A report of nine patients. , 563 - 566.
Chicago Aydin Yener,ULAŞ ALİ BİLAL,TÜRKYILMAZ Atila,EROĞLU ATİLA Surgical treatment of congenital lobar emphysema: A report of nine patients. (2012): 563 - 566.
MLA Aydin Yener,ULAŞ ALİ BİLAL,TÜRKYILMAZ Atila,EROĞLU ATİLA Surgical treatment of congenital lobar emphysema: A report of nine patients. , 2012, ss.563 - 566.
AMA Aydin Y,ULAŞ A,TÜRKYILMAZ A,EROĞLU A Surgical treatment of congenital lobar emphysema: A report of nine patients. . 2012; 563 - 566.
Vancouver Aydin Y,ULAŞ A,TÜRKYILMAZ A,EROĞLU A Surgical treatment of congenital lobar emphysema: A report of nine patients. . 2012; 563 - 566.
IEEE Aydin Y,ULAŞ A,TÜRKYILMAZ A,EROĞLU A "Surgical treatment of congenital lobar emphysema: A report of nine patients." , ss.563 - 566, 2012.
ISNAD Aydin, Yener vd. "Surgical treatment of congenital lobar emphysema: A report of nine patients". (2012), 563-566.
APA Aydin Y, ULAŞ A, TÜRKYILMAZ A, EROĞLU A (2012). Surgical treatment of congenital lobar emphysema: A report of nine patients. Türk Göğüs Kalp Damar Cerrahisi Dergisi, 20(3), 563 - 566.
Chicago Aydin Yener,ULAŞ ALİ BİLAL,TÜRKYILMAZ Atila,EROĞLU ATİLA Surgical treatment of congenital lobar emphysema: A report of nine patients. Türk Göğüs Kalp Damar Cerrahisi Dergisi 20, no.3 (2012): 563 - 566.
MLA Aydin Yener,ULAŞ ALİ BİLAL,TÜRKYILMAZ Atila,EROĞLU ATİLA Surgical treatment of congenital lobar emphysema: A report of nine patients. Türk Göğüs Kalp Damar Cerrahisi Dergisi, vol.20, no.3, 2012, ss.563 - 566.
AMA Aydin Y,ULAŞ A,TÜRKYILMAZ A,EROĞLU A Surgical treatment of congenital lobar emphysema: A report of nine patients. Türk Göğüs Kalp Damar Cerrahisi Dergisi. 2012; 20(3): 563 - 566.
Vancouver Aydin Y,ULAŞ A,TÜRKYILMAZ A,EROĞLU A Surgical treatment of congenital lobar emphysema: A report of nine patients. Türk Göğüs Kalp Damar Cerrahisi Dergisi. 2012; 20(3): 563 - 566.
IEEE Aydin Y,ULAŞ A,TÜRKYILMAZ A,EROĞLU A "Surgical treatment of congenital lobar emphysema: A report of nine patients." Türk Göğüs Kalp Damar Cerrahisi Dergisi, 20, ss.563 - 566, 2012.
ISNAD Aydin, Yener vd. "Surgical treatment of congenital lobar emphysema: A report of nine patients". Türk Göğüs Kalp Damar Cerrahisi Dergisi 20/3 (2012), 563-566.