Akademik Veri Yönetim Sistemi
Pediatrik Cerrahi Dergisi, cilt.17, sa.2, ss.63-66, 2003 (Scopus, TRDizin)
Background/aim: Surgical congenital pulmonary pathologies are rare conditions occurring in newborn infants. The time of surgery determines the prognosis and unfortunately delayed diagnosis is nearly always fatal. The aim of this study, was to retrospectively review our experience with surgical congenital pulmonary pathologies and discuss the results. Method: 18 patients (12 male, 6 female), whom were treated between January 1996 and January 2001, were retrospectively reviewed regarding age, sex, birth weight, initial complaint, surgical pathology, surgical procedure, diagnostic methods and mortality rate. The patient history, the physical examination findings, X-ray, CT, ventilation-perfusion scan, bronchoscopy, abdominal ultrasonography and echocardiography were evaluated. Results: The patient study group consisted 12 males and 6 females. The mean age was 24.2 days (1-45), mean weight was 4800 g (28.50-5670) on admission. All of cases were admitted with primary respiratory compliants diagnosis was; congenital lobar amphysema (n=8), cystic adenomatoid malformation (11=4), pulmonary sequestration (n=2), pulmonary atelectasis (n=2), simple pulmonary cyst (n=1), and cystic intrapulmonary lymphangiomatosis (n=1). Lobectomy was performed in 9, pneumonectomy in 4, segmentectomy in 3, excision of the cyst in 1, and excision of the mass was performed in 1 case as a primary surgical procedure. In one case, left lower lobectomy was performed as a secondary procedure following the left upper lobectomy. Three patients died in the study group (16.6 %). Mechanical ventilation was necessary in 7 (38.8 %) cases. Only one patient, who later died, needed longer period of ventilation. Conclusion: With the help of technical developments or diagnostic methods, surgical technique and experience, improvement on postoperative care and use of mechanical ventilation has increased the surgical outcome in congenital surgical pathologies in newborns.