MUSTAFA KUZUCUOĞLU, NARGIZ AKBARLI, NİHAT BERK SARMIŞ, MEHMET ÜNAL, SERDAR ŞİRZAİ, KERAMETTİN İBRAHİM TAYLAN, ALİ CEM YEKDEŞ, ERALD BAKİU
Southern Clinics of Istanbul Eurasia - 2024;35(4):340-345
Objective: Lung wedge resection, frequently used in thoracic surgery practice, is the only non-anatomic resection. This study aims to determine the instances in which wedge resection was performed in our center and their frequency. Methods: In this study, we included patients over the age of 18 who underwent wedge resection in our clinic between 01.01.2020 and 01.06.2023. In addition to the demographic information of all patients, we retrospectively analyzed medical records such as diagnosis, applied surgical method, number of resections, duration of drainage, duration of hospitalization, and complications. The obtained data were evaluated statistically. Results: Our team included a total of 166 patients in the study, of whom 109 (65.7%) were male and 57 (34.3%) were female. The mean age of the study population was 49.89±19.35 years, 49.40±20.33 years for males, and 50.82±17.43 years for females. Our team performed diagnostic wedge resections in 81 (48.8%) and curative wedge resections in 85 (51.2%) of the patients included in the study. The mean age of the patients who underwent diagnostic resection was significantly higher than the patients who underwent curative resection. While in diagnostic resection cases, the most common diagnoses were nodule and interstitial lung disease, in curative resection cases, the most common diagnoses were bullae-bleb and CAI (cyst-abscess-infection). We performed video-assisted surgery in 90 cases, thoracotomy in 75 cases, and sternotomy in one case. The rate of multiple wedges was significantly higher in the thoracotomy group than in the video-assisted thoracoscopic surgery (VATS) group. In other comparative analyses, no significant difference was found between the two groups using different surgical techniques. Conclusion: Wedge resections are the most commonly used resection technique by thoracic surgeons in clinical practice. While it is frequently used for diagnostic purposes in metastatic lung diseases and less frequently in interstitial lung diseases, it is particularly used for curative purposes in bullous lung diseases.
