Korean J Thorac Cardiovasc Surg.  2008 Jun;41(3):335-342.

Surgical Treatment of Congenital Cystic Lung Disease

Affiliations
  • 1Department of Thoracic and Cardiovascular Surgery, Busan-Paik Hospital, College of Medicine, Inje University, Korea. ctslee@inje.ac.kr

Abstract

BACKGROUND: Congenital cystic diseases of the lung are uncommon, and they share similar embryogenic and clinical characteristics. But they are sometimes vary widely in their presentation and severity. Therefore they are often difficult to make different diagnosis each other, and all require surgical treatment. MATERIAL AND METHOD: From 1993 to 2006, 38 patients underwent surgical procedures under these diagnostic categories in the Depart. of Thoracic and Cardiovascular Surgery, Busan-Paik Hospital, College of Medicine, Inje University. And we retrospectively reviewed these patients' charts for clinical presentations, surgical procedures, pathologic findings and postoperative morbidity and mortality. RESULT: There were 22 males and 16 females, ages ranged from 1 month after birth to 51 years and mean age was 20.8 years. The main symptoms were 19 fever, cough, sputum production due to recurrent infection, 7 dyspnea, 8 chest discomfort, 4 hemoptysis, but eight patients were asymptomatic. Computed tomography was chosen as diagnostic modalities and available for operation plan for all of patients. For all the cases, surgical resection were performed. Lobectomy was performed in 28 patients, simple excision (resection) in 8 patients, segmentectomy or wedge resection in 2 patients. There were 10 pulmonary sequestrations, 15 congenital cystic adenomatoid malformations (CCAM), 11 bronchogenic cysts, and 2 congenital lobar emphysemas. They all were confirmed by pathologic exams. The complications were 6 wound disruption or infection, 2 chylothorax, 1 ulnar neuropathy, but all of them were resolved uneventful. There was no persistent air leakage, respiratory failure, operative mortality and recurrence.
CONCLUSION
We performed immediate surgical removal of congenital cystic lung lesions after diagnosis and obtained good results, so reported them with literature review.

Keyword

Lung, anomaly; Lung sequestration, extralobal or intralobal; Cyst, bronchogenic; Emphysema, congenital; Congenital cystic adenomatoid malformation

MeSH Terms

Bronchogenic Cyst
Bronchopulmonary Sequestration
Chylothorax
Cough
Cystic Adenomatoid Malformation of Lung, Congenital
Dyspnea
Emphysema
Female
Fever
Hemoptysis
Humans
Lung
Lung Diseases
Male
Mastectomy, Segmental
Parturition
Recurrence
Respiratory Insufficiency
Retrospective Studies
Sputum
Thorax
Ulnar Neuropathies
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