title: Congenital malformation of lung parenchyma: 15 years experience in a thoracic surgical unit.
abstract: OBJECTIVE
  To review the surgical management of congenital malformations of lung parenchyma in a thoracic surgery unit over a period of 15 years.
  
  
  METHODS
  We carried out a retrospective analysis of records of all patients who had surgery for congenital malformations of lung parenchyma between 1995 and 2010.
  
  
  RESULTS
  Forty-five patients underwent surgery for congenital lung lesions out of 3735 thoracotomies performed during the study period. The lesions included 29 lung sequestrations, 12 bronchogenic cysts, 3 congenital lobar emphysema and one congenital cystic adenomatoid malformation. Only 26 (26%) cases were diagnosed preoperatively. Twenty-eight (62.2%) patients underwent lobectomy, 5 (11.1%) patients had pneumonectomy, and 10 (22.2%) patients had removal of cyst while 2 (0.45%) patients had lung resection with repair of the oesophageal connection. No mortality was recorded. One patient had post-operative complication of oesophageal fistula which was successfully managed conservatively. The follow-up was between 8 months to 14 years. All patients were asymptomatic and had no physical limitations during the follow-up.
  
  
  CONCLUSIONS
  Surgery is curative and produces good long-term result in patients with congenital malformations of lung parenchyma. It should be offered to patients as a therapeutic option where indicated and feasible.
authors.affiliation: Department of Thoracic Surgery, LRS Institute of Tuberculosis and Respiratory Diseases, New Delhi, India. ravindrakdewan@rediffmail.com
authors.forename: R K
authors.initials: RK
authors.lastname: Dewan
authors.forename: E B
authors.initials: EB
authors.lastname: Kesieme
authors.forename: A
authors.initials: A
authors.lastname: Sisodia
authors.forename: R
authors.initials: R
authors.lastname: Ramchandani
authors.forename: C N
authors.initials: CN
authors.lastname: Kesieme
mesh_terms: D000293:Adolescent; D000328:Adult; D001994:Bronchogenic Cyst / Q000601:surgery; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D008168:Lung / Q000002:abnormalities* / Q000601:surgery; D017563:Lung Diseases, Interstitial / Q000151:congenital* / Q000601:surgery*; D008297:Male; D011013:Pneumonectomy; D012189:Retrospective Studies; D055815:Young Adult