Yıl: 2023 Cilt: 30 Sayı: 2 Sayfa Aralığı: 193 - 199 Metin Dili: İngilizce DOI: 10.5505/vtd.2023.22556 İndeks Tarihi: 12-05-2023

Comparison of the Early Results of Preterm Infants who Underwent the Surgical Ligation of Patent Ductus Arteriosus with two Different Surgical Approaches

Öz:
Introduction: Patent ductus arteriosus (PDA) is the most common congenital heart disease in preterm infants. Surgical ligation is still the gold standard technique, especially in low birth weight patients. To reduce surgical trauma and possible complications, the anterior mini-thoracotomy (AMT) technique has been defined. However, conventional lateral thoracotomy (LT) is still the method preferred by many centers today. In our study, we aimed to compare the early results of preterm infants who underwent PDA ligation wi th two different surgical techniques in a newly established center. Materials and Methods: A total of 26 patients (12 males, 14 females; median gestational age at surgery 32 weeks [IQR: 29- 37]) who underwent surgical PDA ligation in preterm infants between January 2018 and February 2020 were retrospectively analyzed. PDA closure was performed through the left anterior mini-thoracotomy approach in 15 of the patients and left lateral thoracotomy in 11 patients. The early outcomes of the two groups were compared. Results: The median weight at operation was 1000 g (IQR: 720-1200) in AMT group and 1200 g (IQR: 1000 – 2800) in the LT group. The difference between weights at operation was found statistically significant. The operation time of the AMT group was found to be statistically significantly shorter. Conclusion: Anterior mini-thoracotomy technique provides an effective surgical closure in the low-weight preterm infant at least lateral thoracotomy technique. Based on the results of our series and our opinion, it should be considered the first choice surgical method, especially in very low and extremely low- weight preterm infants.
Anahtar Kelime:

İki Farklı Cerrahi Yaklaşım ile Patent Duktus Arteriozus Ligasyonu Uygulanan Preterm İnfantların Erken Dönem Sonuçlarının Karşılaştırılması

Öz:
Amaç: Patent duktus arteriozus (PDA), prematür infantlarda en sık görülen doğumsal kalp hastalığıdır. Cerrahi ligasyon, özellikle düşük do ğum a ğırlıklı hastalarda hala altın standart tekniktir. Cerrahi travmayı ve olası komplikasyonları azaltmak için anterior mini torakotomi (AMT) tekniği tanımlanmıştır. Ancak konvansiyonel lateral tora kotomi (LT) günümüzde hala daha fazla merkez tarafından tercih edilmektedir. Çalışmamızda yeni kurulan bir merkezde iki farklı cerrahi teknikle PDA ligasyonu uygulanan prematüre infantlar ın erken dönem sonuçlarını karşılaştırmayı amaçladık. Gereç ve Yöntem: Ocak 2018 ve Şubat 2020 tarihleri aras ında cerrahi PDA ligasyonu uygulanan toplam 26 prematür infant (12 erkek, 14 kadın; ameliyatta medyan gebelik ya şı 32 hafta [IQR: 29-37]) retrospektif olarak incelendi. 15 hastaya sol anterior mini torakotomi ve 11 hastaya sol lateral torakotomi yaklaşımı ile PDA ligasyonu yapıldı. İki grubun erken dönem sonuçları karşılaştırıldı. Bulgular: Operasyondaki medyan ağırlık AMT grubunda 1000 gr. (IQR: 720-1200) ve LT grubunda 1200 gr. (IQR: 1000 – 2800) idi. Ameliyat a ğırlığı arasındaki fark istatistiksel olarak anlamlı bulundu. AMT grubunun ameliyat süresi istatistiksel olarak anlamlı olarak daha kısa bulundu. Sonuç: Anterior mini torakotomi tekniği, düşük a ğırlıklı prematüre bebeklerde en az lateral torakotomi tekniği kadar etkin cerrahi kapama sağlar. Serimizin sonuçlarına bakılarak özellikle çok düşük ve a şırı düşük kilolu prematür infantlarda anterior mini-torakotomi tekni ğinin öncelikli olarak tercih edilmesi gerektiğini düşünmekteyiz.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA Özdemir F, doyurgan o, Bezirganoğlu H, Dedemoğlu M, genç s, Uzundere O, Sürücü M, Aldudak B (2023). Comparison of the Early Results of Preterm Infants who Underwent the Surgical Ligation of Patent Ductus Arteriosus with two Different Surgical Approaches. , 193 - 199. 10.5505/vtd.2023.22556
Chicago Özdemir Fatih,doyurgan onur,Bezirganoğlu Handan,Dedemoğlu Mehmet,genç serhat bahadır,Uzundere Osman,Sürücü Murat,Aldudak Bedri Comparison of the Early Results of Preterm Infants who Underwent the Surgical Ligation of Patent Ductus Arteriosus with two Different Surgical Approaches. (2023): 193 - 199. 10.5505/vtd.2023.22556
MLA Özdemir Fatih,doyurgan onur,Bezirganoğlu Handan,Dedemoğlu Mehmet,genç serhat bahadır,Uzundere Osman,Sürücü Murat,Aldudak Bedri Comparison of the Early Results of Preterm Infants who Underwent the Surgical Ligation of Patent Ductus Arteriosus with two Different Surgical Approaches. , 2023, ss.193 - 199. 10.5505/vtd.2023.22556
AMA Özdemir F,doyurgan o,Bezirganoğlu H,Dedemoğlu M,genç s,Uzundere O,Sürücü M,Aldudak B Comparison of the Early Results of Preterm Infants who Underwent the Surgical Ligation of Patent Ductus Arteriosus with two Different Surgical Approaches. . 2023; 193 - 199. 10.5505/vtd.2023.22556
Vancouver Özdemir F,doyurgan o,Bezirganoğlu H,Dedemoğlu M,genç s,Uzundere O,Sürücü M,Aldudak B Comparison of the Early Results of Preterm Infants who Underwent the Surgical Ligation of Patent Ductus Arteriosus with two Different Surgical Approaches. . 2023; 193 - 199. 10.5505/vtd.2023.22556
IEEE Özdemir F,doyurgan o,Bezirganoğlu H,Dedemoğlu M,genç s,Uzundere O,Sürücü M,Aldudak B "Comparison of the Early Results of Preterm Infants who Underwent the Surgical Ligation of Patent Ductus Arteriosus with two Different Surgical Approaches." , ss.193 - 199, 2023. 10.5505/vtd.2023.22556
ISNAD Özdemir, Fatih vd. "Comparison of the Early Results of Preterm Infants who Underwent the Surgical Ligation of Patent Ductus Arteriosus with two Different Surgical Approaches". (2023), 193-199. https://doi.org/10.5505/vtd.2023.22556
APA Özdemir F, doyurgan o, Bezirganoğlu H, Dedemoğlu M, genç s, Uzundere O, Sürücü M, Aldudak B (2023). Comparison of the Early Results of Preterm Infants who Underwent the Surgical Ligation of Patent Ductus Arteriosus with two Different Surgical Approaches. Van Tıp Dergisi, 30(2), 193 - 199. 10.5505/vtd.2023.22556
Chicago Özdemir Fatih,doyurgan onur,Bezirganoğlu Handan,Dedemoğlu Mehmet,genç serhat bahadır,Uzundere Osman,Sürücü Murat,Aldudak Bedri Comparison of the Early Results of Preterm Infants who Underwent the Surgical Ligation of Patent Ductus Arteriosus with two Different Surgical Approaches. Van Tıp Dergisi 30, no.2 (2023): 193 - 199. 10.5505/vtd.2023.22556
MLA Özdemir Fatih,doyurgan onur,Bezirganoğlu Handan,Dedemoğlu Mehmet,genç serhat bahadır,Uzundere Osman,Sürücü Murat,Aldudak Bedri Comparison of the Early Results of Preterm Infants who Underwent the Surgical Ligation of Patent Ductus Arteriosus with two Different Surgical Approaches. Van Tıp Dergisi, vol.30, no.2, 2023, ss.193 - 199. 10.5505/vtd.2023.22556
AMA Özdemir F,doyurgan o,Bezirganoğlu H,Dedemoğlu M,genç s,Uzundere O,Sürücü M,Aldudak B Comparison of the Early Results of Preterm Infants who Underwent the Surgical Ligation of Patent Ductus Arteriosus with two Different Surgical Approaches. Van Tıp Dergisi. 2023; 30(2): 193 - 199. 10.5505/vtd.2023.22556
Vancouver Özdemir F,doyurgan o,Bezirganoğlu H,Dedemoğlu M,genç s,Uzundere O,Sürücü M,Aldudak B Comparison of the Early Results of Preterm Infants who Underwent the Surgical Ligation of Patent Ductus Arteriosus with two Different Surgical Approaches. Van Tıp Dergisi. 2023; 30(2): 193 - 199. 10.5505/vtd.2023.22556
IEEE Özdemir F,doyurgan o,Bezirganoğlu H,Dedemoğlu M,genç s,Uzundere O,Sürücü M,Aldudak B "Comparison of the Early Results of Preterm Infants who Underwent the Surgical Ligation of Patent Ductus Arteriosus with two Different Surgical Approaches." Van Tıp Dergisi, 30, ss.193 - 199, 2023. 10.5505/vtd.2023.22556
ISNAD Özdemir, Fatih vd. "Comparison of the Early Results of Preterm Infants who Underwent the Surgical Ligation of Patent Ductus Arteriosus with two Different Surgical Approaches". Van Tıp Dergisi 30/2 (2023), 193-199. https://doi.org/10.5505/vtd.2023.22556