Harmouchi H1*, Issoufou I1,2, Ammor FZ1, Belliraj L1, Lakranbi M1,2, Ouadnouni Y1,2 and Smahi M1,2
1Department of Thoracic Surgery, Hospital Center University Hassan Ii, Morocco
2Faculty of Medicine and Pharmacy, Sidi Mohamed Ben Abdallah University, Morocco
Introduction: Anatomical lung resections are practiced primarily for non-small cell lung cancer in developed countries. In countries of low socioeconomic level, the first indication for these surgical procedures remains the infectious and inflammatory diseases whose lead is the parenchymal tuberculosis sequelae. Our goal is to present our experience and surgical outcomes regarding these interventions. Material and Methods: It was a retrospective and monocentric study including 182 patients all operated by an anatomical lung resection for an infectious or inflammatory pathologies, over a period of 8 years. Results: Among 182 patients, there were 93 men and 89 women. The average age was 34.55 years old. The pathological antecedents were predominated by tuberculosis in 77 patients (42.30%) all form combined. Hemoptysis was predominant in 104 patients (57.14%). The right side was reached in 96 patients (52.74%). All patients were approached by posterolateral thoracotomy. The extrapleural plane was necessary in 75 patients (40.20%). Lobectomy was practiced in 114 patients (62.63%), followed by pneumonectomy in 36 patients (19.78%), segmentectomy in 27 patients (14.83%), and bilobectomy in 5 patients (2.74%). The etiologies were predominantly bronchiectasis in 46 patients (25.27%), hydatid cyst of the lung in 43 patients (23.62%). The immediate postoperative followup was marked especially by bleeding complications in 25 patients (13.73%), and postoperative atelectasis in 20 patients (10.98%). The mortality rate in this study was 2.74%. The mean of follow-up was 2.5 years. Conclusion: Anatomical lung resections for infectious or inflammatory diseases are practiced with an acceptable rate of mortality and morbidity.
Lungs; Resection; Tuberculosis; Thoracotomy; Surgery
Harmouchi H, Issoufou I, Ammor FZ, Belliraj L, Lakranbi M, Ouadnouni Y, et al. Anatomical Lung Resections for Infectious Diseases about 182 Cases. Clin Surg. 2019; 4: 2543.