Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 2019 , Vol 10, Issue 2
Patients With Pulmonary Complications After Esophagectomy and Treatment Approaches
Mehmet Erdem Çakmak1,Hayriye Cankar Dal1,Derya Ademoğlu1,Serdar Yamanyar1,Büşra Tezcan1,Dilek Kazancı1,Ayşegül Özgök2,Sema Turan1
1Türkiye Yüksek İhtisas Hastanesi, Yoğun Bakım Anabilim Dalı, Ankara, Türkiye
2Türkiye Yüksek İhtisas Hastanesi, Anestezi ve Reanimasyon Anabilim Dalı, Ankara, Türkiye
DOI : 10.31067/0.2019.159 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