THORACIC COMPLICATIONS AFTER KIDNEY TRANSPLANTATION
Complications After Kidney Transplantation, Akademisyen Kitabevi, ss.335-346, 2026
- Yayın Türü: Kitapta Bölüm / Araştırma Kitabı
- Basım Tarihi: 2026
- Doi Numarası: 10.37609/akya.4215.c12974
- Yayınevi: Akademisyen Kitabevi
- Sayfa Sayıları: ss.335-346
- Anahtar Kelimeler: atelectasis, diaphragmatic dysfunction, empyema, immunosuppression, kidney transplantation, lung cancer, pleural effusion, pneumonia, post-transplant lymphoproliferative disorder, postoperative pulmonary complications, PTLD, pulmonary embolism, pulmonary nodules, thoracic complications, thoracic surgery, VATS, venous thromboembolism, ventilation
- Çukurova Üniversitesi Adresli: Evet
Özet
Thoracic complications after kidney transplantation constitute a heterogeneous clinical spectrum ranging from early postoperative respiratory impairment to late infectious, thromboembolic, pleural, malignant, and ventilation-related disorders. Their evaluation requires more than routine postoperative respiratory assessment because immunosuppression, graft function, renal-adjusted therapies, altered inflammatory responses, and competing diagnoses frequently obscure the clinical picture. This chapter reviews thoracic complications from a thoracic surgery-oriented perspective, emphasizing practical diagnostic pathways, indications for invasive evaluation, and situations in which surgical intervention becomes necessary. Particular attention is given to postoperative atelectasis and pneumonia, pleural effusion and pleural infection, pulmonary embolism, thoracic malignancies, pulmonary nodules, post-transplant lymphoproliferative disorder, diaphragmatic dysfunction, and complex pleural or pulmonary conditions requiring video-assisted thoracoscopic surgery. The chapter highlights the importance of differentiating reversible postoperative changes from complications requiring microbiologic diagnosis, pleural drainage, bronchoscopy, tissue biopsy, oncologic staging, or operative management. Because evidence specific to kidney transplant recipients remains limited for several thoracic conditions, general thoracic, pulmonary, and thromboembolic principles should be applied with transplant-specific caution. Early recognition, structured assessment, individualized risk evaluation, and coordinated multidisciplinary care are central to improving outcomes in this vulnerable patient population.