Pulmonary sequestration: is it fraught to operate without the diagnosis?

A. Cevat KUTLUK; Celalettin KOCATÜRK; Hasan AKIN; M. Ali BEDİRHAN; Altan CERİTOĞLU; Merve HATİPOĞLU; Kemal KARAPINAR; Özkan SAYDAM

Makale detayları

Pulmonary sequestration: is it fraught to operate without the diagnosis?

Yazarlar:

A. Cevat KUTLUK | Celalettin KOCATÜRK | Hasan AKIN | M. Ali BEDİRHAN | Altan CERİTOĞLU | Merve HATİPOĞLU | Kemal KARAPINAR | Özkan SAYDAM

Yayıncı:

Turkish Society of Thoracic Surgery

Dergi:

CURRENT THORACIC SURGERY 2016 Vol.1 Issue 1, pp.16-20

Belge Tipi:

Makale

Yayın Tarihi:

12/2016

Belge Dili:

Türkçe

Document ID (Org No.):

2000768852

Sıklık:

Üç Yıllık

eISSN:

2548-0316

Özet:

 


Background: Pulmonary sequestration is defined as nonfunctional lung tissue without a normal tracheobronchial tree that is supplied by an aberrant systemic artery. The awareness of the preoperative diagnosis could be very crucial for the safety of the operation. 

Materials and Methods: We retrospectively reviewed the records of 16 patients who underwent resection for pulmonary sequestration between 2006-2016. Nine of 16 cases (56%) were female, and the mean age of the patients was 38.5 ± 9.9 years. Fiberoptic bronchoscopy and standard computed thorax tomography were performed for diagnostic work-up in all cases. The patients were divided into 2 groups based on the presence (Group A) or abscence (Group B) of the preoperative diagnosis. 

Results: The most common presenting symptoms were cough and expectoration. Preoperative diagnosis of the sequestration was obtained in only 5 patients (31%). Bronchiectasis was the most common cause of false diagnosis, followed by hydatid disease, malignancy, and aspergillosis. Left-sided and intrapulmonary locations were dominant with 12 (75%) and 13 (81%) cases, respectively. Lobectomy was the most common type of surgical resection (75%) and thoracic aorta was the source of aberrant artery in 87% of the patients. Patients in group A were younger. Though intralobar and extralobar types were equally distributed in both groups, all cases in group B had intralobar type. The mean operation time, blood loss, the amount of drainage, and the hospital stay were all insignificantly longer in group B patients. Five of the 6 morbidities occured in group B patients, but the difference was not statistically significant. No mortality occured. 

Conclusions: Surgical resection provides definitive management, and is usually reserved for the patients with symptoms. Facilities for a definitive diagnosis should be performed in every case, because, although insignificant, the rate of morbidity is higher in the patients without a definitive diagnosis. Further studies concerning of more patients are required to obtain more comprehensive results. 


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Makale detayları

Pulmonary sequestration: is it fraught to operate without the diagnosis?

Yazarlar: A. Cevat KUTLUK | Celalettin KOCATÜRK | Hasan AKIN | M. Ali BEDİRHAN | Altan CERİTOĞLU | Merve HATİPOĞLU | Kemal KARAPINAR | Özkan SAYDAM

Yayıncı: Turkish Society of Thoracic Surgery

Dergi: CURRENT THORACIC SURGERY 2016 Vol.1 Issue 1, pp.16-20

Belge Tipi: Makale

Yayın Tarihi: 12/2016

Belge Dili: Türkçe

Document ID (Org No.): 2000768852

Sıklık: Üç Yıllık

eISSN: 2548-0316

Sayı

Yazarlar:

A. Cevat KUTLUK | Celalettin KOCATÜRK | Hasan AKIN | M. Ali BEDİRHAN | Altan CERİTOĞLU | Merve HATİPOĞLU | Kemal KARAPINAR | Özkan SAYDAM

Yayıncı:

Turkish Society of Thoracic Surgery

Dergi:

CURRENT THORACIC SURGERY 2016 Vol.1 Issue 1, pp.16-20

Belge Tipi:

Makale

Yayın Tarihi:

12/2016

Belge Dili:

Türkçe

Document ID (Org No.):

2000768852

Sıklık:

Üç Yıllık

eISSN:

2548-0316