[Pulmonary intralobar sequestration in adults: Evolution of surgical treatment].

Background: Until now, the traditional procedure to treat intralobar pulmonary sequestration (ILS) in adults has been a lobectomy performed by open thoracotomy. We have reviewed our data to observe if the surgical management of these lesions has evolved over the last years.

Methods: We retrospectively reviewed the records of the patients who were operated for an ILS either by posterolateral thoracotomy (PLT group), or by thoracoscopy (TS group) between 2000 and 2016.

Adult pulmonary intralobar sequestrations: changes in the surgical management.

Background: Until now, the traditional procedure to treat intralobar pulmonary sequestration (ILS) in adults has been a lobectomy performed by open chest surgery. We have reviewed our data to determine whether the surgical management of these lesions has evolved over the last years.

Methods: We retrospectively reviewed the records of patients who were operated on for an ILS by either posterolateral thoracotomy (PLT group), or by thoracoscopy (TS group) between 2000 and 2016.

Congenital bronchial atresia in adults: thoracoscopic resection.

Congenital bronchial atresia (CBA) is a rare congenital malformation consisting in an interruption of a lobar or-more frequently-of a segmental bronchus. It leads to mucus impaction and hyperinflation of the obstructed lung segment. It causes infectious complications and, in the long term, destruction of the adjacent lung parenchyma.

[Chronic chest pain after rib fracture: It can cause a disability?].

Introduction: The rib fractures and instability of the chest wall are the main lesions of closed chest trauma. These lesions can be a source of chronic, often disabling with daily discomfort resulting limitation of some activities. The objective of this study was to assess the prevalence of this phenomenon in order to improve the quality of early care.

Predictive factors for complications of anatomical pulmonary segmentectomies.

Objectives: The role of anatomical pulmonary segmentectomy is increasing, but there are few data about its complication rate. We have analysed the postoperative morbidity, mortality and risk factors in a consecutive series of 228 segmentectomies performed in our department.

Methods: Between January 2007 and December 2011, 221 patients underwent 228 segmentectomies.

Surgical treatment of aspergilloma grafted in hydatid cyst cavity.

Aspergilloma is a saprophytic infection that colonizes pre-existing cavities in the lung. These cavities are caused by tuberculosis, bronchiectasis, lung cancer and other pulmonary diseases. Development of aspergilloma in the residual cavities after pulmonary hydatid cyst surgery is rarely described in terms of coexistence of the two conditions.

[Benign cysts of the mediastinum: series of 28 cases].

Introduction: Benign cystic mediastinal mass form a group of heterogeneous and uncommon lesions. Surgical resection is the gold standard in these conditions. We reported our institutional experience in management of these benign tumours.

Parenchyma sparing procedures is possible for most pulmonary hydatid disease without recurrence and low complications.

Objective: A retrospective review of 223 patients (242 operations) of pulmonary hydatid cysts. We analyze and evaluate our experience in the surgical management of this Moroccan endemic disease and concluded that parenchyma-saving must be always used.

Materials And Methods: In an 8 year period (2002 -2009), 223 patients (242 interventions, 282 pulmonary hydatid cysts) were operated on in our department.

Intralobar pulmonary sequestration associated with bronchogenic cyst in adult.

Pulmonary sequestration and mediastinal bronchogenic cysts are rare but well known to thoracic surgeons. However, their association is exceptional. We report such a case in a young adult.

Primary axillary hydatid cyst.

Echinococcosis is a zoonotic infection, affecting humans in a characteristic geographic distribution. The disease generally involves the liver, the lung and sometimes an axillary location. We reported a case of 43-year-old man, who was diagnosed with a cystic lesion of the left axilla, which was presumed to be a hydatid cyst or a vascular malformation by ultrasound and computed tomography.

[Missed right post-traumatic diaphragmatic injuries: a review of six cases].

Interest: Right posttraumatic diaphragmatic injuries are rare; literature relates mainly isolated cases or small series and most often rupture are succeeding of blunt trauma. This series is interesting because the number of cases and the existence of two injuries following a right stab wound.

Patients And Methods: Retrospective study between January 2002 and September 2010.

Costal hydatidosis: management and outcome of five cases.

The objective of the study was to report our experience in the management of hydatid cyst of the rib. Between December 2001 and December 2009, five patients underwent surgery for costal echinococcosis, among 234 cases of thoracic hydatid cyst managed in our department. They were three males and two females, aged 19-42 years (mean = 32.

[Bilio-bronchial fistula due to hydatic disease: case report and review of the literature].

Bilio-bronchial fistula due to hydatid disease is a rare but severe condition. Three levels, abdominal, diaphragmatic and thoracic, may be involved, with high perioperative mortality. We report a case of bilio-bronchial fistula successfully managed by thoracotomy.

[Pediatric Ewing sarcoma of the rib: role of neoadjuvant chemotherapy in tumoral shrinking and sterilization. A case report].

Ewing sarcoma is a rare tumor, which represents, nevertheless, the most common primary chest wall tumor in children. The management and prognosis of these tumors have markedly improved with the use of multimodal therapy including adjuvant chemotherapy, surgery and/or irradiation. A good response to chemotherapy often avoids the need for extensive local treatment without sacrificing local control or long-term survival.

Monostotic fibrous dysplasia of the ribs.

Fibrous dysplasia (FD) is a sporadic benign skeletal disorder that can affect one bone (monostotic form) or multiple bones (polyostotic bone). Around 6-20% of monostotic FD occurs in the ribs. The objective of this study was to report our experience in the management of the monostotic FD of the ribs.

Complete sternal cleft in an adult: case report.

A cleft of the sternum is a rare congenital anomaly. We report a rare case of complete sternal cleft in a 25-year-old woman. After surgical correction of the pectus excavatum, complete closure by direct approximation of the freshened sternal remnants to the midline, without interposition of tissue graft or inert prosthesis, was achieved in our patient.

Parietal pleura lipoma: a rare intrathoracic tumor.

Lipoma is a common benign tumor of soft tissues in adults. An intrathoracic location, particularly in the parietal pleura, is rare. We report two cases of pleural parietal lipoma with a review of literature.

Giant cell tumors that originated in the sternum.

Giant cell tumors originating from the sternum are rare. We report a case of a giant cell tumor of the sternum with radiological evidence of aggressiveness. A 34 year-old woman noted a mass in the anterior chest wall that had been slowly growing over 1 year.

[Myopericytoma: an uncommon chest wall tumor].

Myopericytoma is, according to the World Health Organisation classification of soft tissue tumours, a recently proposed term describing a group of tumours showing a perivascular myoid differentiation. It is a rare tumour with a predilection for the distal extremities and is often misdiagnosed. We report a new case of myopericytoma located exceptionally in the chest wall together with a review of literature.

Mediastinal hydatid cyst.

Background: The objective of this study was to report our experience in the management of hydatid cysts of the mediastinum.

Methods: Among 206 patients who underwent surgery in our department for intrathoracic hydatid cysts between September 2001 and September 2008, 7 patients (3.4%) aged 24 to 49 years (mean, 36.

[The surgical extraction of foreign bodies after the inhalation of a scarf pin: two cases].

The inhalation of a foreign body (FB) is rare in the adult although more common in the child. The type of FB varies greatly according to the dietary and educational habits of the populations studied. In Morocco, metal FB are common, especially the pins used to attach scarves.

[Pulmonary decortication: value of lung function recovery].

Purpose: Based on the experience in the thoracic surgery unit at Hôpital Militaire d'Instruction Mohammed-V in Rabat, this study analyses the indications as well as the results of pulmonary decortication.

Materials And Methods: Twenty-five cases of pulmonary decortication were examined over a period of 5 years ranging from January 2002 to December 2006. The aetiology of chronic pyothorax was dominated by non tubercular causes.