Pulmonary Lobectomies for Benign Diseases: Results and Complications about 120 Cases

Harmouchi H, Lakranbi M, Issoufou I, Belliraj L, Ammor FZ, Rabiou S, Ouadnouni Yand Smahi M

Department of Thoracic Surgery, Hospital Center University Hassan Ii, Morocco
Department of Medicine and Pharmacy, Sidi Mohamed Ben Abdallah University, Morocco

^*Correspondance to: Harmouchi H 

 PDF  Full Text DOI: 10.25107/2474-1647.2508

Abstract

Introduction: In developed countries, lobectomy is mainly used for lung cancer. However, in our context, this surgical procedure is especially practiced for infectious lesions. Our objective in this study is to present the epidemiological and surgical outcomes of lobectomy in benign pathology. Material and Methods: It was a retrospective study, collected 120 patients over a period of 8 years (from 1 January 2010 to 31 December 2017). All patients who had a lobectomy as a surgical procedure were included. Patients with malignant diseases and incomplete medical records were excluded. Results: It was a 70 men (58.33%) and 50 (41.66%) women, with a median age of 34.7 years old. the pathological history was predominated by tuberculosis in 37 patients (30.8%). Hemoptysis was the most predominant respiratory functional sign in 84 patients (70%). The etiologies were predominated by bronchiectasis in 38 patients (31.6%), hydatid cyst of the lung in 31 patients (25.8%), aspergilloma in 29 patients (24.1%), a tuberculosis destroyed lobe in 14 patients (11.6%). The localization of lesions was on the left side in 61 patients (50.8%). All patients (100%) benefited from a posterolateral thoracotomy conservative of the chest wall muscles. The extra pleural plan was done in 41 patients (34.16%). Concerning postoperative complications, 10 patients (8.3%) were transfused and 3 deaths within 48 h of surgical intervention. The average long-term follow-up was 2 years without any marked recurrence. Conclusion: The endemicity of tuberculosis and hydatidosis in our country explains the frequency of anatomical lung resections. A good selection of patients and a serious preoperative preparation can reduce the rate of morbidity and mortality correlated to this type of diseases.

Keywords

Lobectomy; Tuberculosis; Thoracotomy; Bronchiectasis; Aspergilloma

Cite the article

Harmouchi H, Lakranbi M, Issoufou I, Belliraj L, Ammor FZ, Rabiou S, et al. Pulmonary Lobectomies for Benign Diseases: Results and Complications about 120 Cases. Clin Surg. 2019; 4: 2508.