Open AccessPredictors of outcome of surgical management of bullous lung disease
Author(s) -
Ahmed M. Elwakeel,
Ahmed A. Hafez Swailum,
Waleed G. Abo Senna,
Tarek Mohsen,
Waleed Adel,
Tamer E. Fouda
Publication year - 2022
Publication title -
international journal of health sciences (ijhs) (en línea)
Language(s) - English
Resource type - Journals
eISSN - 2550-6978
pISSN - 2550-696X
DOI - 10.53730/ijhs.v6ns1.5205
Subject(s) - medicine , lung , copd , prospective cohort study , disease , cardiothoracic surgery , surgery
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.