Lung decortication,what it is indicated for??

Lung decortication

The objective of this Lung decortication study was to evaluate lung function before and after decortication of the lung in patients with chronic empyema (CPE ) .

 Methods : Twenty-six patients with lung removal diagnosis of Lung decortication EPC were prospectively evaluated by lung scan , blood gas analysis and spirometry before and 35 weeks ( ± 17 ) after lung decortication .

 Results : Preoperative scintigraphy showed a lung lobectomy reduction in lung perfusion on the affected side to 24.5 % ( ± 12.6 % ) in 11 empyema on the right side ( 55 % predicted ) and 18% ( ± 8% ) left empyema in 15 ( 45 % predicted ) .

Postoperative measurements showed improved perfusion of 45.2 % ( ± 7.7% ) in patients with empyema on the right side and 34.1 % ( ± 8.5 % ) with affection left Lung decortication.

The preoperative vital capacity (VC ) was reduced to 62.3 % ( ± 13.8 % ) of predicted and forced expiratory volume in 1 second ( FEV1 ) 50 % ( ± 15.5 % ) of the predicted value .

After the operation lung removal, a slight improvement was achieved in 79.8 % (± 12.9%) and 69.2% for VC ( ± 12.7 %) for FEV1 . Blood gas analysis showed values ​​decreased in most patients before operation and a significant improvement in postoperative evaluation lung lobectomy.

 Conclusions : Perfusion and spirometry significantly improves CPE patients after decortication of the lung, but the function of the affected lung remains doubtful.Lung decortication There was no influence of age , gender, disease side ,lung removal bacteriology and empyema length preoperatively on lung function .