Özet:

Background: "Destroyed lung" is used as a term in when there is widespread destruction of a lung occured as a result of pulmonary infectious diseases. In this study we aim to evaluate underlying diseases, clinical features, treatment modalities and results in patients of destroyed lungs in the light of literature.Material and method: Retrospectively we reviewed 10 patients who had diagnosis of destroyed lungs and treated with pneumonectomy in our clinic between January 2000 and December 2010. Patients' age, sex, underlying pulmonary disease, symptoms, localization of destroyed lungs, diagnosis, treatment modality, morbidity and mortality rates and duration of hospital stay were revised.Results: 5 patients were male and 5 female. Ages was between 11 and 55 and average age was 22.7. Tuberculosis was detected in 3 cases. Destroyed lung was on the left side in 8 cases, and on the right side in 2 cases. Pneumonectomy was performed on the left side in 8 cases and on the right side in 2 cases. Chylothorax in one case and stasis of secretion in one case was observed postoperatively. There was no mortality in any case. Postoperative length of hospital duratin was 12.6 days in average (6-36 days). During folllow up we observed improvements of symptoms in all patients.Conclusion: Although seeing rarely destroyed lungs can cause serious complications such as massive hemoptysis, secondary fungal infections, secondary amiloidosis, and pulmonary-systemic shunt. Resection is required absolutely in these cases for avoiding serious complications and correcting symptoms despite being high mortality and morbidity risk.

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