Predictors of outcome of surgical management of bullous lung disease

Ahmed M. Elwakeel; Ahmed A. Hafez Swailum; Waleed G. Abo Senna; Tarek A. Mohsen; Waleed Adel; Tamer E. Fouda

doi:10.53730/ijhs.v6nS1.5205

Predictors of outcome of surgical management of bullous lung disease

https://doi.org/10.53730/ijhs.v6nS1.5205

Authors

Ahmed M. Elwakeel
aelwakeel@kasralainy.edu.eg
Department of Cardiothoracic Surgery, Faculty of Medicine, Cairo University, Giza, Egypt
Ahmed A. Hafez Swailum Department of Cardiothoracic Surgery, Faculty of Medicine, Cairo University, Giza, Egypt
Waleed G. Abo Senna Department of Cardiothoracic Surgery, Faculty of Medicine, Cairo University, Giza, Egypt
Tarek A. Mohsen Department of CardioThoracic Surgery, Faculty of Medicine, Cairo University, Giza, Egypt
Waleed Adel Department of CardioThoracic Surgery, Faculty of Medicine, Cairo University, Giza, Egypt
Tamer E. Fouda Department of CardioThoracic Surgery, Faculty of Medicine, Cairo University, Giza, Egypt

Keywords:

Bullectomy, outcome, bullous lung, predictors, COPD, VATS

Abstract

Bullous lung disease are associated with COPD. Bullectomy is the main treatment for giant bullae and complicated patients. The aim was to evaluate predictors of outcome of surgical management of bullous lung disease. This was a descriptive prospective study, 40 patients with bullous lung disease had bullectomy. It was accomplished in our University (April 2018 to July 2020). Operative and post-operative variables were noted. Post-operative air leak was related to lung pathology (p = 0.006), degree of the disease on CT chest (p = 0.001) and FEV1 / FVC ratio (p = 0.009). Regarding ICU stay ≥ 2 days, a correlation was noted with medical comorbidities (p = 0.037) and surgical technique (p = 0.004), while hospital stay > 7 days was linked to lung pathology (p = 0.006), degree of the disease on CT chest (p = 0.001) and FEV1 / FVC ratio (p = 0.009). Patients with diffuse or localized lung disease and decreased respiratory functions had clinical and functional improvement after surgery. Factors as lung pathology and diffuse lung affection were considered as predictors for prolonged air leak > 7 days and hospital stay > 7 days.

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References

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Published

30-03-2022

How to Cite

Elwakeel, A. M., Swailum, A. A. H., Senna, W. G. A., Mohsen, T. A., Adel, W., & Fouda, T. E. (2022). Predictors of outcome of surgical management of bullous lung disease. International Journal of Health Sciences, 6(S1), 2388–2400. https://doi.org/10.53730/ijhs.v6nS1.5205

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Issue

Vol. 6 No. S1 (2022)

Section

Peer Review Articles

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