Pulmonary resection for the patients with larynx and pulmonary malignancies
Abstract
Aim: Larynx and pulmonary malignancies can be seen synchronously or metachronously as a result of common etiological factors. In this study, we aimed to present our clinical approach and management methods of these patients.
Materials and Methods: The records of patients underwent pulmonary resection with previous larynx malignancy between January 2010 and April 2016 were investigated retrospectively.
Results: All of 20 patients were male with a mean age of 62.18 ± 2.65 years (range 47 to 84 years). Synchronous larynx and pulmonary malignancies without any previous treatment for larynx malignancy were defined as Group 1 (6 patients) and pulmonary malignancy patients with previous treated larynx malignancy were defined as Group 2 (14 patients). Tracheostomy had been performed to four patients in Group 2. The pre, -per and postoperative problems and complications were as follows: Four (20%) patients could not performed pulmonary function test (PFT), single lung ventilation could not be obtained in 3 (15%) patients, differential diagnosis could not be achieved in frozen section examination in 4 of 9 (44.4%) patients.
Conclusion: The patients with both larynx and pulmonary malignancies must be evaluated carefully in terms of entubation difficulties. Arterial blood gas analysis with exercise test and six minutes walk test must be performed to the patients who cannot perform PFT. Humidification of the respiration air, bronchoscopy and tracheostomy when needed must be kept in mind to avoid postoperative secretion retention.
Keywords
Kaynakça
- Bertrand D, Righini C, Ferretti G, Brambilla C, Moro-Sibilot D. Early diagnosis of bronchial carcinoma after head and neck cancer. Rev Mal Respir 2008;25(5):559-68.
- Rennemo E, Zätterström U, Boysen M. Impact of second primary tumors on survival in head and neck cancer: An analysis of 2,063 cases. Laryngoscope 2008;118(8):1350-6.
- Griffioen GH, Louie AV, De Bree R, et al. Second primary lung cancers following a diagnosis of primary head and neck cancer. Lung Cancer 2015;88(1):94-9.
- Ding N, Zhou N, Zhou M, Ren GM. Respiratory cancers and pollution. Eur Rev Med Pharmacol Sci 2015;19(1):31-7.
- Ellis L, Coleman MP, Rachet B. The impact of life tables adjusted for smoking on the socio-economic difference in net survival for laryngeal and lung cancer. Br J Cancer 2014;8(1):195-202.
- Overstreet S, Parekh KR, Gross TJ. Cardiopulmonary exercise testing after laryngectomy: A connection conundrum. Respir Med Case Rep 2015;12(16):11-4.
- Hess M.M, Schwenk R.A, Frank W, Loddenkemper R. Pulmonary function after total laryngectomy. Laryngoscope 1999;109(9):988-94.
- Toman H, Şahin H, Kiraz HA, Ömür D, Erbaş M. Trakeostomisi olan bir hastada çift lümenli tüp ile tek akciğer ventilasyonu. GKDA Derg 2013;19(1):49-50.
Ayrıntılar
Birincil Dil
Türkçe
Konular
Sağlık Kurumları Yönetimi
Bölüm
Araştırma Makalesi
Yazarlar
Tevfik İlker Akçam
*
Ege Üniversitesi Tıp Fakültesi, Göğüs Cerrahisi Anabilim Dalı, İzmir
0000-0001-7108-9469
Türkiye
Önder Kavurmacı
Ege Üniversitesi Tıp Fakültesi, Göğüs Cerrahisi Anabilim Dalı, İzmir
0000-0002-9644-8218
Türkiye
Ali Özdil
Ege Üniversitesi Tıp Fakültesi, Göğüs Cerrahisi Anabilim Dalı, İzmir
0000-0001-8182-1764
Türkiye
Ayşe Gül Ergönül
Ege Üniversitesi Tıp Fakültesi, Göğüs Cerrahisi Anabilim Dalı, İzmir
0000-0001-8854-953X
Türkiye
Kutsal Turhan
Ege Üniversitesi Tıp Fakültesi, Göğüs Cerrahisi Anabilim Dalı, İzmir
0000-0003-4150-0514
Türkiye
Alpaslan Çakan
Ege Üniversitesi Tıp Fakültesi, Göğüs Cerrahisi Anabilim Dalı, İzmir
0000-0002-4958-0996
Türkiye
Yayımlanma Tarihi
1 Aralık 2017
Gönderilme Tarihi
19 Ağustos 2016
Kabul Tarihi
19 Eylül 2016
Yayımlandığı Sayı
Yıl 1970 Cilt: 56 Sayı: 4