What is the role of lobectomy in the treatment of pulmonary interstitial emphysema (PIE)?

Updated: Jun 25, 2019
  • Author: Abhay J Bhatt, MD, MBBS; Chief Editor: Muhammad Aslam, MD  more...
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Answer

Lobectomy is indicated in a small number of patients with localized pulmonary interstitial emphysema (PIE) in whom spontaneous regression is not occurring and medical management has failed. [38, 39, 40] However, a case report exists of the spontaneous resolution of diffuse persistent PIE with pneumomediastinum, supporting the consideration of a nonsurgical approach in a stable infant with persistent PIE. [41] Thus, clear guidelines for surgical intervention in PIE are difficult to establish. In general, lobectomy should be reserved for infants in whom the risks of recurring complications outweigh those of surgery. Lobectomy seems most helpful in infants who develop severe lobar emphysema.


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