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Journals / Namık Kemal Tıp Dergisi / 2019 / Cilt: 7 Sayı: 3

Comparison Of The Nonsurgical Management Models In Patients With Prolonged Air Leaks Following Lobectomy

Lobektomi Sonrası Akciğerin Uzamış Hava Kaçağında Uygulanan Cerrahi Dışı Tedavi Yöntemlerinin Karşılaştırılması

Murat Sarıçam(NAMIK KEMAL ÜNİVERSİTESİ)0000-0003-3469-5798
Serkan Kaya(NAMIK KEMAL ÜNİVERSİTESİ)0000-0002-9817-744X
Pages
259–264
Publication Date
2019-12-18
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: Autologous blood pleurodesis should be preferred due to rapid effect and low cost in nonsurgical treatment of the patients with PAL after lobectomy.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective : Aim of this study was to compare successful nonsurgical treatment models performed in the patients with prolonged air leakage (PAL) after lobectomy .
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Key Findings & Data:Material and Method: Treatment modalities applied to 108 patients who developed PAL after lobectomy between February 2000 and October 2018 were divided into three groups as negative suction, autologous blood pleuridesis and one way chest valves.
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Conclusion & Impact:Conclusion: Autologous blood pleurodesis should be preferred due to rapid effect and low cost in nonsurgical treatment of the patients with PAL after lobectomy.
🔬Design:Modeling & Simulation
📍Scope:2000 Verileri
⚙️Variables:lobektomi · hava kaçağı · tedavi

Abstract

Objective : Aim of this study was to compare successful nonsurgical treatment models performed in the patients with prolonged air leakage (PAL) after lobectomy . Material and Method: Treatment modalities applied to 108 patients who developed PAL after lobectomy between February 2000 and October 2018 were divided into three groups as negative suction, autologous blood pleuridesis and one way chest valves. Each treatment group was compared in terms of hospital stay and cost. Results : The highest treatment cost was in the group treated with negative suction and the lowest hospital cost was due to autologous blood pleuridesis. In addition, the duration of treatment was the longest in the negative aspiration treatment group and the shortest hospital stay was in patients treated with one way valve. Conclusion: Autologous blood pleurodesis should be preferred due to rapid effect and low cost in nonsurgical treatment of the patients with PAL after lobectomy.

Özet

Amaç: Çalışmada lobektomi sonrası uzamış hava kaçağı (UHK) gelişen hastalarda uygulanmış ve başarıya ulaşmış cerrahi dışı tedavi yöntemlerinin karşılaştırılması amaçlanmıştır. Materyal ve Metot: Şubat 2000 ve Ekim 2018 arasında lobektomi sonrasında UHK gelişen 108 hastalara uygulanmış tedavi yöntemleri negatif aspirasyon, otolog kan plöridezis ve tek yönlü göğüs valfi olmak üzere üç gruba ayrıldı. Her tedavi grubu hastanede kalış süresi ve maliyet açısından karşılaştırıldı. Bulgular: Karşılaştırılan tedavi yöntemleri arasında en yüksek tedavi maliyetinin negatif aspirasyonla tedavi edilen grupta olduğu, en düşük hastane masrafının ise otolog kan plöridezis uygulamasından kaynaklandığı saptandı. Ayrıca tedavi süresi negatif aspirasyon uygulanan grupta en uzun iken en kısa hastanede yatış süresinin tek yönlü valf ile tedavi edilen hastalarda olduğu belirlendi. Sonuç: UHK’nın cerrahi olmayan tedavisinde kısa sürede başarıya ulaşması ve düşük maliyeti nedeniyle otolog kan plöridezisin tercih edilmesi uygun olacaktır.

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Cite This Article

Sarıçam, M., Kaya, S. (2019). Comparison Of The Nonsurgical Management Models In Patients With Prolonged Air Leaks Following Lobectomy. Namık Kemal Tıp Dergisi, Cilt: 7 Sayı: 3, 259–264. https://ajindex.com/articles/1295081

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