Background: congenital lobar emphysema is a rare cause of
respiratory distress in neonates and infants. It was treated by
lobectomy since 1943. Objectives: The aim of this study was to
present our experience in the diagnosis and surgical treatment of
congenital lobar emphysema cases and highlight the effect of multidisplinary
team work on the outcome. Methods: We retrospectively
analyzed data of patients operated for congenital lobar emphysema at
cardiothoracic surgery department, Sohag university hospital over the
period of 15 years starting from January 2000 and ending in December
2015. Results: Total number of cases was fifty three. Males were 39
(74%) while females were 14 (26%). mean age was 12 weeks. Six
patients (11%) had associated cardiac anomalies. main clinical
presentations were acute respiratory distress and recurrent chest
infection. Left upper lobe affected in 35 cases (66%), right upper lobe in
10 cases (19%) and right middle lobe in 8 cases (15%). all cases
subjected to anatomical lobectomy by thoracotomy . One patient
subjected to patent ductus arteriosus ligation simultaneously with Left
upper lobectomy at the same operative setting. Post operative
complications reported in 8 cases (15%) and one patient of them died
from sepsis and respiratory failure (1.9%). Postoperatively, all
surviving patients were followed up for one year in the outpatient
clinic. Conclusion: congenital lobar emphysema is a life
multi-displinary team is the golden key for favorable and safe
outcome.threatening disease. Early diagnosis and surgical management by a