DOI: 10.21276/sasjs.2019.5.3.6

Pages: 178-181

The residual pocket after lobectomy is a frequent complication that can lead to the completion of a thoracoplasty. Several strategies and methods are proposed in the management of this complication to reduce the morbidity in the postoperative course. The purpose of our study is to analyze the factors of occurrence, as well as the therapeutic and evolutionary modalities of the residual pockets after lobectomy. Method: A single-center retrospective analytical study of patients with a residual pocket after radiographic lobectomy during the period of January 1, 2000 to December 31, 2014. Result: During the study period 17 patients presented a residual apical pocket after pulmonary resection in 123 patients followed for lobectomy. All these patients were male with a mean age of 37 years. The majority of patients had a history of pulmonary tuberculosis 16/17 cases. Surgery of pulmonary aspergilloma was strongly presumptive to the occurrence of a residual pocket after lobectomy. The correlation is statistically significant; as well as superior lobectomy isolated or associated with Fowler segmentectomy and non-selective orotracheal intubation. After an average of 49 months with a minimum of 6 months and a maximum of 168 months. The evolution of the pockets was marked by erasure healing or retraction of the pocket in 10 patients, of whom 3 had developed pachypleuritis.