Özofajektomi Sonrası Pulmoner Komplikasyon Gelişen Olgular ve Tedavi Yaklaşımları

Authors : Mehmet Erdem Çakmak, Hayriye Cankar Dal, Derya Ademoğlu, Serdar Yamanyar, Büşra Tezcan, Dilek Kazanci, Ayşegül Özgök, Sema Turan

Pages : 333-338

View : 36 | Download : 8

Publication Date : 2019-06-01

Article Type : Other

Abstract :Subtotal esophagectomy involves esophagectomy and esophagogastric anastomosis with thoracotomy after gastric release emptying . It can be performed to remove esophageal carcinomas, high - grade dysplasia, and caustic esophageal injuries. Atelectasis, pneumonia, aspiration and prolonged respiratory failure may occur as pulmonary complications in the postoperative period. The rate of pulmonary complications ranges from 20% to 50%. The development of pulmonary complications not only prolongs the hospital stay but it also increases the mortality and morbidity significantly. In this study, we retrospectively evaluated 5 cases with postoperative pulmonary complications. Postoperatively, 4 cases had pneumonia, 1 had atelectasis, 1 had a pneumothorax and subcutaneous emphysema. One patient died in the postoperative period due to anastomotic leakage. Pulmonary complication rates can be reduced with careful preoperative evaluation and appropriate postoperative measures. In this study, we aimed to evaluate the postoperative pulmonary complications after esophageal surgery
Keywords : Esophagectomy, lung, complications