Our lobectomy experience

Abstract

Introduction: Lobectomy is a compulsory operation performed due to congenital or acquired reasons in which, minimum lung tissue loss and the prevention of residual lung function is targeted. Patients who had lobectomy in our clinic were retrospectively evaluated for indications of their lobectomies and postoperative follow up.Materials and Method: Our clinic records were retrospectively investigated for lobectomy operations and with their etiologies. The pneumonectomy and segmented lobectomy operations were excluded from this study. Principally, etiologic factors were divided in 2 groups; congenital and acquired deformities.Results: Twenty seven patients (16 males and 11 females) were included and their ages ranged from 2 days to 17 years. The number of patients with congenital disease was 14 and their mean age for operation was 3 months. The number of patients who had acquired etiology was 13 and their mean age for operation was 6 years. The congenital causes were lobar emphysema (n: 7), congenital cystic adenomatoid malformation (n: 4) and pulmonary sequestration (n: 3). The acquired causes werepost pneumonic deformities (n: 12) and traumatic bronchus rupture (n: 1). While patients who were operated due to congenital reasons were completely cured, the follow up of 2 patients with acquired reasons (one with Kartagener's syndrome and one with tuberculosis) is still continuing in assistance with pediatric infectious disease team.Conclusion: The results of lobectomy are better for congenital causes. The patients having acquired causes for lobectomy need longer follow- up times and their results vary depending on primary disease.