ISSN: 1300-0292
İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED
CINAHL, Index Copernicus,
Chemical Abstracts (CA),
Excerpta Medica / EMBASE
Dil: Türkçe, İngilizce
İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
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ORIGINAL RESEARCH ARTICLES |
Bronchiectasis: Analysis Of 39 Cases Underwent Pulmonary Resections
Olgun Kadir ARIBAŞ*, Niyazi GÖRMÜŞ**
* Yrd.Doç.Dr., Selçuk Üniversitesi Tıp Fakültesi Göğüs Cerrahisi AD,
** Dr., Selçuk Üniversitesi Tıp Fakültesi Kalp-Damar Cerrahisi AD, KONYA
Purpose: The aim of this study is to determine the clinical differences between the morphologically different types of bronchiectasis and the importance of these differences in the management of bronchiectasis. Materials and Methods: Thirty nine patients were examined retrospectively. In all patients clinical and radiological presentations, treatment results are assessed with sex, age, job, admission time, number and localization of affected segments, respiratory functions, morphologic types, hospitalization time and resection types. Congenital diseases are not taken into this study.Results: Mean age was 25.13 ± 16.16 year (the eldest was 65 year, the youngest was 5 years-old). Male/female ratio was 1.2 and 82% of all patients were young population under the age of 40. Bilateral involvement was 13%, left/right side ratio according to localization was 2.1/1. The most seen ethiological factor was lower respiratory tract infections and pneumonia. Surgical indications were as follows: recurrent infection (56%), hemoptysis (33%), empyema (8%), and pneumothorax (3%). In morfological consideration 64% of the cases were tubular/cylendric and 36% of them were saccular/cystic. The affected segment numbers and hospitalization times did not show any significant differences between these morphological types, but saccular type was significantly frequent in the patients aged under 15 and in the admission times prelonged patients. Moreover deterioration in pulmonary functions were significantly higher in saccular type. Lobectomy was performed on 62.2% of all cases, segmentectomy to 13.5%, and lobectomy and segmentectomy to 16.2%. Pneumonectomy was performed on a case of 19 years-old patient (3%). Postoperative morbidity rate was 21.6% and there was no mortality in our serial except a 5 years-old patient (2.7%). Mean postoperative hospitalization time was 9.85 ± 5.35 days.Conclusion: Although affected segment number was same in each morphologic group, obstructive pathology was obvious in saccular/cystic type and in this type there was an obvious deterioration in the younger individuals. Likewise free from morphological type obstructive pathology was obvious in the patients aged above 40 years and/or in the patients that had prelonged admission times. In conclusion, surgery must be performed in the early years of life and before the occurence of obstructive pathology because of postoperatively lower mortality and morbidity rates.Keywords: BronchiectasisTurkiye Klinikleri J Med Sci 2002, 22:24-30
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