Author of

• 18670

  +

  P3.04 - Poster Session with Presenters Present (ID 474)

  • Event: WCLC 2016
  • Type: Poster Presenters Present
  • Track: Surgery
  • Presentations: 2
  • Moderators:
  • Coordinates: 12/07/2016, 14:30 - 15:45, Hall B (Poster Area)

  • 18714

    +

    P3.04-044 - Surgical Management of Arteriovenous Malformations: Our Experience (ID 3746)

    14:30 - 14:30  |  Author(s): F. Kokici
    • Abstract

    Background:
    Pulmonary arteriovenous malformations are rare lesions with significant clinical complications. These lesions are commonly seen in patients with hereditary hemorrhagic telangiectasia (formerly Osler-Weber-Rendu syndrome). Formerly called Osler-Weber-Rendu, HHT is an inherited disorder of the vasculature associated with AVMs and telangiectasias. Diagnosis of HHT is based upon the presence or absence of four specific clinical criteria often referred to as the Curacao criteria.three criteria are present, the diagnosis is definite. If two criteria are present, the diagnosis of HHT is probable. If less than two criteria are present, the diagnosis is unlikely.Management of arteriovenous malformations (AVMs) remains challenging because of their unpredictable behavior and with high risk mortality..The purpose of this study was to review our surgical experience with surgical to manage arteriovenous malformations (AVMs).
    
    Methods:
    We diagnosed and treated a total of 11 patients with pulmonary arteriovenous malformacion (PAVMs) .They have been admitted to the clinic with massive hemoptisis. Unknwn initially diagnose .All patients are presented to hospital urgently with such clinical signs, epistaxis ,cough, hemopstisi, weakness, sweat, fever, dyspnoea, thoracic malaiseand ,massive right hemothorax . But 3 patients with clinical signs of hemorrhagic shock with massive hemoptisi, tachycardia, weak pulse, hypotension, severe anemia.In one patient was presented with massive hemothorax dexter et hypovolemiv shock .She was treated with right pleural drainage (avarage 2000ml)and intensive therapy et hemotransfusion (8 flacons).All patients are treated initially with intensive therapy and hemotransfuzion and after that with hemodynamic parameters stable were treated with surgery.Pacients were comleted with all the necessary of emergency examinations as thoracic radiography, biochemical examinations, CT scaner toracal, MRI ,Bronchoscopy, EKG ,cardiac echo and cateterisation ,gaseous exchange .Pulmonary angiography was performed in 8 patients.All patients were treated by surgical approach.Embolo/sclerotherapy was not definitive choice .
    
    Results:
    Arteriovenous malformation size ranged from 3.5 cm , on average (1-5 cm) and right lung location in seven patients ,right lower lobe in 4 patients,middle lobe 1 patient,right upper lobe 2 patients.Location on left lung in 4 patients .In left upper lobe in one patient and left lower lobe in 3 patiens.They were treated by lobectomy in 5 patients ,anatomical segmentectomy in 3 patients ,wedge resection in 3 patients.Morbidity 2 % and mortality in one patient
    
    Conclusion:
    Diagnosis and management of AVMs by surgical therapy resection was with very good results and with limited morbidity and low mortality and no recurrence during early follow-up.
    
    

  • 18715

    +

    P3.04-045 - Primary Lung Cancer Presenting as Pneumothorax (ID 3740)

    14:30 - 14:30  |  Author(s): F. Kokici
    • Abstract

    Background:
    Analysis of our patients with primary lung cancer presenting as pneumothorax
    
    Methods:
    Between 2010 -2015 we treated in our clinic among 338 adults (258 men and 80 women) presenting with spontaneous pneumothorax, there were nine men and two woman with lung cancer: Seven squamous cell carcinoma ,three adenocarcinoma and one oat cell carcinoma. Pneumothorax led to the diagnosis in 11 cases and the remaining occurred as a complication of known neoplastic disease. The average age was 60 years from (32-72 years old).
    
    Results:
    We analyze these 11 cases treated in our hospital. In patients with normal chest x-ray film findings after lung expansion, further investigation for neoplastic disease is not justified .But we need to perform and chest CT and other investigation in patients with , heavy smoking, chronic bronchitis, bullous emphysema and incomplete lung expansion after chest drainage also patients with age over 50 years old
    
    Conclusion:
    The occurrence of a pneumothorax in patients with lung cancer ,worsening prognosis. Five-year survival is poor, suggesting that lung cancers present as pneumothorax at an advanced stage of disease.