2017, Cilt 43, Sayı 1, Sayfa(lar) 013-016

General Characteristics of Decortication Patients
Serhat YALÇINKAYA1, Burak ERDOLU2, Ahmet Hakan VURAL3, Ahmet Fatih ÖZYAZICIOĞLU2
1Dumlupınar Üniversitesi Tıp Fakültesi, Göğüs Cerrahisi Anabilim Dalı, Kütahya
2Sağlık Bilimleri Üniversitesi Bursa Yüksek İhtisas Eğitim ve Araştırma Hastanesi, Kalp ve Damar Cerrahisi Eğitim Kliniği, Bursa
3Dumlupınar Üniversitesi Tıp Fakültesi, Kalp ve Damar Cerrahisi Anabilim Dalı, Kütahya
Keywords: Pleural effusion. Empyema. Surgery. Thoracotomy. Decortication of lung

Surgical removal of the thick pleural sheets due to pleural effusion not drained properly is called decortication of the lung. This procedure is needed in cases with pleural involvement of almost half of the lungs, recurring fluid accumulation despite thoracentesis and aspirations, and in patients not responding to 3-6 months of medical therapy. Between 2002 and 2013, 37 patients underwent decortication of the lung operation in Thoracic Surgery Unit in Bursa Yüksek Ihtisas Education and Research Hospital. The average age was 37.8±13.7 years (range 17-65). There were 33 male (89.2%), and 4 female patients. The thoracotomy was on the left side in 20 patients (54.1%). Length of hospital was 10.9±5.7 days (range 5-30). Histopathological examination revealed nonspecific infection related changes in 21 (56.8%) cases. We believe that proper timing of decortication of lung may be preferred in treating thick fibrous tissues and restoring lung functions.