Adel Marghli Chirurgien Thoracique Tunisie, Tunisian Thoracic surgeon. Head, Division of Thoracic Surgery; MD - A. Mami University Hospital / Tel: (00216) 27 293 513 - Tunisian Thoracic surgeon. Chief, Division of Thoracic Surgery, MD.

Adel Marghli Chirurgien Thoracique Tunisie

Tunisian Thoracic surgeon. Head, Division of Thoracic Surgery; MD

A. Mami University Hospital / Tel: (00216) 27 293 513

Tunisian Thoracic surgeon. Chief, Division of Thoracic Surgery, MD.

Ariana-Tunis, Grand Tunis | Tunisia

Main Specialties: Oncology, Pulmonary Disease, Thoracic Surgery, Thoracic Surgery-Integrated

Additional Specialties: Thoracic and pulmonary surgery

ORCID logohttps://orcid.org/0000-0002-9200-1478


Top Author

Adel Marghli Chirurgien Thoracique Tunisie, Tunisian Thoracic surgeon. Head, Division of Thoracic Surgery; MD - A. Mami University Hospital / Tel: (00216) 27 293 513 - Tunisian Thoracic surgeon. Chief, Division of Thoracic Surgery, MD.

Adel Marghli Chirurgien Thoracique Tunisie

Tunisian Thoracic surgeon. Head, Division of Thoracic Surgery; MD

Introduction

Tunisian Thoracic surgeon. Professor of Thoracic Surgery. Head, division of thoracic and cardio-vascular surgery; A. Mami University Hospital - Ariana; Tunisia. Tel: (00216) 95458534

Primary Affiliation: A. Mami University Hospital / Tel: (00216) 27 293 513 - Ariana-Tunis, Grand Tunis , Tunisia

Specialties:

Additional Specialties:

Research Interests:


View Adel Marghli Chirurgien Thoracique Tunisie’s Resume / CV

Education

Oct 2003
thoracic surgeon

Experience

Nov 2016
Head

thoracic division

Publications

36Publications

633Reads

1484Profile Views

19PubMed Central Citations

La chirurgie de l’hydatidose pulmonaire chez les enfants. Étude de 676 cas

Rev Mal Respir volume 35, Supplement, January 2018, Page A238

Revue des Maladies Respiratoires

Introduction L’échinococcose est l’une des maladies parasitaires les plus fréquentes chez les humains, en particulier dans les pays endémiques. Elle présente toujours un problème de santé mondial important. [1] Méthodes ll s’agit d’une étude rétrospective menée sur les cas d’enfants opérés entre janvier 1992 et décembre 2016 pour kystes hydatiques pulmonaires, en mettant l’accent sur les symptômes cliniques, la localisation du kyste, le type d’intervention et les complications postopératoires. Résultats Pendant la période d’étude, 676 enfants ont été opérés pour kyste hydatique du poumon. Il y avait 401 garçons et 275 filles d’âge moyen de 11,9 ans. Les principaux symptômes étaient l’hémoptysie, la toux, la douleur thoracique, la dyspnée et la fièvre. Une association à une hydatidose hépatique a été observée chez 110 patients (16,28 %), tandis que 566 patients (83,72 %) avaient un kyste hydatique pulmonaire isolé. Sur les 676 kystes, 355 (52,51 %) étaient localisés dans le poumon droit, 312 (46,15 %) dans le poumon gauche et 10 patients (1,34 %) avaient des kystes bilatéraux. La voie d’abord était une VATS chez 52 patients (7,69 %). Nous avons effectué une kystectomie et un capitonnage dans 549 cas (81,22 %), une résection en wedge dans 56 cas (0,29 %), une segmentectomie dans 25 cas (3,69 %), une lobectomie dans 96 cas (14,21 %) et une bilobectomie dans 4 cas (0,59 %). Les suites opératoires étaient simples dans 611 cas (90,3 %). Un seul décès (le taux de mortalité était de 0,14 %). Il y a eu des complications postopératoires chez 65 patients (9,7 %) et les plus fréquentes étaient l’atélectasie et le pneumothorax. Les complications dépendaient du geste chirurgical avec une différence significative (p = 0,04). Conclusion La chirurgie est le traitement de choix de l’hydatidose pulmonaire. La chirurgie vidéo-assistée présente l’avantage d’être peu invasive. [2] L’économie du parenchyme pulmonaire est la règle avec moins de complications.

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November 2018
5 Reads

Tuberculosis of the Thyroid Gland Presented as a RapidEnlargement of a Preexisting Goiter

Case Reports in Endocrinology volume 2018, Article ID 4369531, 4 pages

Case Reports in Endocrinology

Thyroid involvement with tuberculosis is an uncommon condition even in endemic countries. As its clinical presentation is notspecific, diagnosis is often difficult and requires histopathological confirmation. Herein we report an observation of secondarytuberculosis of the thyroid gland in a woman with a type 2 diabetes mellitus and a primary hypothyroidism. She presented witha rapid enlargement of a preexisting goiter without compressive symptoms. The imaging exams showed a voluminous plungingmultinodular thyroid gland and multiple bilateral lung nodules. Malignancy was suspected and the patient underwent a totalthyroidectomy and a lung biopsy. Histopathological examination revealed multiple tuberculous foci involving both the thyroidgland and the lungs.

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November 2018
4 Reads

Clinical and pathological profile of the pleural malignant mesothelioma: A retrospective study about 30 cases

Rev Pneumol Clin. 2018 Oct 4. pii: S0761-8417(18)30096-8

Rev Pneumol Clin

BACKGROUND: The malignant pleural mesothelioma (MPM) is a rare tumour usually associated to asbestos exposure. The delay between the exposure and the occurrence of the cancer can reach 40 years. This caused the pick of incidence described in many countries including Tunisia. The diagnosis is suspected based on clinical features but positive diagnosis is microscopic. Our aim was to describe the clinical and microscopic features of MPM through a single institution experience. PATIENTS AND METHODS: We conducted a retrospective study about 30 MPM diagnosed over a 20-year-period (1995-2015). We included only patients with complete records including clinical, radiologic and microscopic features. All the microscopic diagnoses were reviewed by 2 pathologists. A mean of 12 slides per case was reviewed. The diagnosis was based on the 2015 WHO classification. RESULTS: The mean age of the patients was 61 years, average 22 to 80 years. The sex ratio was 6,5. An asbetose exposition was reported in 21 cases. The most frequent symptoms was chest pain reported in 25 cases. Physical exam was normal in 9 cases. It revealed pleural syndorm in most patients (60 %). Imaging findings consisted mainly in diffuse pleural thickening in 17 cases. Twelve tumours were classified as stage I, 3 stage II, 14 stage III et 1 stage IV. Pleural biopsy was performed using needle in 18 cases, through thoracoscopy in 16 cases, thoracotomy in 3 cases and allowed the diagnosis in respectively 7 cases/18, 16 cases/16 and 3 cases/3. A lymph node biopsy was performed through mediastinoscopy in one case and yelded the diagnosis. The diagnosis was performed on surgical specimen in 2 patients: one bullectomy and one right upper lobectomy. The microscopic exam concluded to an EM in 17 cases, sarcomatoid mesothelioma (SM) in 4 cases and biphasic mesothelioma (BM) in 9 cases. Pan-cytokeratin antibody was used in all cases in association with 2 antibodies with positive diagnostic value and 2 antibodies with negative diagnostic value. It was repeated in 15 cases and the most used antibodies were the anti-calretinin and the TTF1. This was due to the lack of fixation in one case and in order to reach a quality criteria in the other cases. Surgical resection was possible in 2 patients. 15 patients were lost of view after a mean follow-up period of 3 months. Thirteen patients died before or during the follow-up. CONCLUSION: This work was about a Tunisian experience in the diagnosis and management of MPM. The major limits faced were the incomplete databases, the small number of patients included. Microsocpic positive diagnosis necessitates a degree of expertise and every laboratory has to determine the most valuable antibodies through its experience in order to optimize the diagnosis and to reduce the delay of diagnosis.

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October 2018
5 Reads

About a lymphoepithelioma-like carcinoma of the lung with an endotracheal localization,A propos d’un carcinome lympho-epithélioma like pulmonaire de localisation endo-trachéale

Volume 96, Issue 7, July 2018, Pages 451-453

Tunisie Medicale

Introduction: Lympho-epithelioma like carcinoma is a rare lung tumour that acounts for less than 1% of non small cell lung carcinomas. It is defined as a special entity among the 2015 World Health Organization. Aim: Our aim was to describe a completely illustrated new case of lymhpo-epithelioma like carcinoma. Methods: We describe a new case diagnosed in our Department of Pathology. Case presentation: The authors describe a case of a 22-year-old woman without a particular past medical history who presented non specific respiratory symptoms. Radiologic investigations revealed a tracheal tumor with enlarged mediastinal lumph nodes. A first biopsy was performed revealing a malignant tumor with a squamous differentiation highlighted by immunohischemistry. A surgical biopsy was performed and the final microscopic diagnosis revealed a lymphoepithelioma-like carcinoma of the lung. This diagnosis was retained after ruling out a possible metastasis of a nasopharyngeal carcinoma whose microscopic features are similar to this subtype of lung tumor. Discussion and conclusion: This case points out the rarity of this diagnosis, especially in a young and caucasian patient and highlights the diagnostic dilemma caused by this kind of tumor. © 2018, Maison du Medicine. All rights reserved.

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July 2018
4 Reads

Ectopic ACTH-secreting tumor of the thymus revealed by a Cushing’s syndrome: case report and review of literature

Indian J Thorac Cardiovasc Surg (2018) 34: 65

Indian Journal of Thoracic and Cardiovascular Surgery

Tumors of the thymus are rare. Neuroendocrine tumors are extremely rare. We report a case of a 39-year-old man, referred to our hospital for a paraneoplastic Cushing syndrome with a thymic tumor. Despite bilateral adrenalectomy, the patient still had signs of hypercorticism. A CT scan revealed a 25-mm nodule in the thymic compartment. A resection was indicated and surgery was successful. No adjuvant therapy was administrated. After 10 months, the patient was in good health and his clinical symptoms resolved, with no signs of recurrence. Lung and thymic neuroendocrine carcinomas with Cushing syndrome are aggressive with a high risk of recurrence even after a complete resection. A close follow-up is recommended.

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January 2018
3 Reads

Is it possible to alleviate thoracic surgery? chest tube removal before the extubation

Int Surg J. 2017 Dec;4(12):3809-3812

international Surgery Journal

Background: The ambulatory surgery (AS), is an operative management that does not require an overnight hospital stay. But, the application of AS still limited in the thoracic surgery due to the necessity of air leaking management. The aim of this study is to review our AS institutional experience by a chest drain removal before the extubation, in thoracic sympathectomy surgery. Methods: We have carried out a retrospective analysis of patients who underwent thoracic sympathectomy between November 2012 and July 2016 in the Thoracic Surgery Department of Abderrahmen MAMI University Hospital. Results: During the study period, 17 patients underwent thoracic bilateral sympathectomy. Twelve (12) females were operated versus 5 males. The mean age was 24.47 (range:17-33) years. There is no chest X-ray disorder detected during all frame times. No patient had developed a respiratory distress during the postoperative period. In addition to that, no postoperative morbidities had been detected during the follow up. All patients were satisfied about the procedure at the end of the follow up. Conclusions: The ambulatory thoracic surgery procedures can safely, and efficiency be applied if the patient is well selected. The progression on operative mini invasive techniques will increase the number of patients who can profit from an "alleviated thoracic surgery".

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December 2017
4 Reads

About thymic carcinomas: challenges in diagnosis and management.

Asian Cardiovasc Thorac Ann 2016 May 21;24(4):350-4. Epub 2016 Mar 21.

Department of Pathology, Abderrahman Mami Hospital, Ariana, Tunisia.

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http://dx.doi.org/10.1177/0218492316640129DOI Listing
May 2016
22 Reads

[Place of the microscopic examination in the diagnosis of costal fibrous dysplasia].

Rev Pneumol Clin 2016 May 29;72(3):207-12. Epub 2016 Apr 29.

Department of pathology, Abderrahman Mami Hospital, 2037 Tunis, Tunisie.

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http://dx.doi.org/10.1016/j.pneumo.2015.10.005DOI Listing
May 2016
45 Reads
0.191 Impact Factor

[Bronchopulmonary carcinoid tumors: Tunisian experience with 115 surgically treated cases].

Rev Pneumol Clin 2015 Dec 17;71(6):319-26. Epub 2015 Jul 17.

Service d'anatomie pathologique, faculté de médecine de Tunis, hôpital Abderrahmen-Mami, université Tunis El Manar, 2080 Ariana, Tunis, Tunisie.

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http://dx.doi.org/10.1016/j.pneumo.2015.04.003DOI Listing
December 2015
9 Reads
2 Citations
0.191 Impact Factor

A unilocular thymic cyst associated with true thymic hyperplasia: a challenging diagnosis especially in a child.

Int Med Case Rep J 2015 25;8:215-8. Epub 2015 Sep 25.

Department of Pathology, Abderrahman Mami Hospital, Tunis, Tunisia ; Research Unit UR12SP16, Université Tunis El Manar, Faculté de Médecine de Tunis, Tunis El Manar, Tunisia.

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https://www.dovepress.com/a-unilocular-thymic-cyst-associate
Publisher Site
http://dx.doi.org/10.2147/IMCRJ.S84144DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4590429PMC
October 2015
16 Reads

[Tracheal tumor treated as asthma].

Rev Pneumol Clin 2014 Dec 15;70(6):353-6. Epub 2014 Aug 15.

Service d'anatomie pathologique, hôpital Abderrahmen Mami de pneumo-phtysiologie, Ariana, Tunisie.

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http://dx.doi.org/10.1016/j.pneumo.2014.04.003DOI Listing
December 2014
11 Reads
0.191 Impact Factor

Brief original scientific report: a new surgical approach for the treatment of left pulmonary and hepatic hydatid disease.

Surg Today 2014 Oct 13;44(10):1971-4. Epub 2013 Aug 13.

Cardio-Thoracic Surgery Department, Abderrahmen Mami University Hospital, Abderrahmen Mami street, 2080, Ariana, Tunisia,

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http://dx.doi.org/10.1007/s00595-013-0684-4DOI Listing
October 2014
23 Reads
1.210 Impact Factor

[Sarcomatoid carcinoma of the lung: retrospective study of 28 cases].

Ann Pathol 2014 Apr 19;34(2):124-9. Epub 2014 Mar 19.

Service d'anatomie et de cytologie pathologiques, hôpital Abderrahman Mami, Ariana, Tunisie.

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http://dx.doi.org/10.1016/j.annpat.2013.12.001DOI Listing
April 2014
23 Reads
4 Citations
0.291 Impact Factor

[Neo-adjuvant chemotherapy contribution in bronchopulmonary non small cell cancers: surgeon opinion].

Tunis Med 2014 Jan;92(1):114

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January 2014
15 Reads

What outcome after the prescription of neoadjuvant chemotherapy in lung cancer?

Asian Cardiovasc Thorac Ann 2013 Aug 9;21(4):432-6. Epub 2013 Jul 9.

Department of Cardiothoracic Surgery, Abderrahmen Mami University Hospital, Ariana, Tunisia.

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http://dx.doi.org/10.1177/0218492312462576DOI Listing
August 2013
17 Reads
1 Citation

About the necessity of improving the current nodal classification of non-small cell lung carcinoma.

Pathologica 2013 Aug;105(4):117-21

Search Unit: 02/SU/08-08, Department of Pathology, Abderrahman Mami Hospital, Ariana, Tunisia.

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August 2013
11 Reads

A rare and particular form of goiter to recognize.

Ann Transl Med 2013 Jul;1(2):21

1 Department of Pathology, 2 Department of Thoracic Surgery, Abderrahmen Mami Hospital, 2083 Ariana, Tunisia.

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http://dx.doi.org/10.3978/j.issn.2305-5839.2013.01.10DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4200628PMC
July 2013
113 Reads

[Primary malignant tumors of the sternum].

Tunis Med 2012 Nov;90(11):824-8

Hopital Abderrahman Mami-Ariana, Tunisie.

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November 2012
33 Reads
2 Citations

[Cystic mediastinal hemolymphangioma].

Tunis Med 2012 Oct;90(10):754-5

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October 2012
9 Reads
2 Citations

Cystic thymoma.

Tunis Med 2012 Jul;90(7):579-81

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July 2012
11 Reads

Surgery in thoracic actinomycosis.

Asian Cardiovasc Thorac Ann 2012 Jun;20(3):314-9

Thoracic and Cardiovascular Department, University Hospital Abderrahmen Mami, Ariana, Tunisia.

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http://dx.doi.org/10.1177/0218492312439310DOI Listing
June 2012
19 Reads
6 Citations

[Localized malignant mesothelioma of the pleura].

Tunis Med 2012 Apr;90(4):337-9

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April 2012
17 Reads

[Pulmonary atinomycosis: a great clinical polymorphism].

Tunis Med 2011 Apr;89(4):386-90

Service de Pneumologie lbn Nafiss, Hôpital Abderrahmen Mami, Ariana, Tunisie.

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April 2011
14 Reads

Pulmonary localization revealing Wegener's granulomatosis.

ScientificWorldJournal 2010 May 4;10:806-10. Epub 2010 May 4.

Department of Pathology, Abderrahman Mami Hospital, Ariana, Tunis.

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http://downloads.hindawi.com/journals/tswj/2010/151298.pdf
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http://www.hindawi.com/journals/tswj/2010/151298/
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http://dx.doi.org/10.1100/tsw.2010.84DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5763831PMC
May 2010
30 Reads
1 Citation
1.220 Impact Factor

[Post-traumatic fibro-osseous lesion of the rib].

Ann Pathol 2009 Feb 25;29(1):36-8. Epub 2009 Jan 25.

Service d'anatomie pathologique, hôpital Abderrahmen Mami, 2080 Ariana, Tunisie.

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http://dx.doi.org/10.1016/j.annpat.2008.09.050DOI Listing
February 2009
11 Reads
0.291 Impact Factor

[A rare tumor of the rib].

Ann Pathol 2007 Sep;27(4):333-5

Service d'Anatomie Pathologique, Hôpital A. Mami de L'Ariana, Tunisia.

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September 2007
11 Reads
0.291 Impact Factor

[Non penetrating cardiac trauma].

Tunis Med 2006 Jan;84(1):1-8

Service de Chirurgie Cardio-thoracique Hôpital Militaire de Tunis.

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January 2006
15 Reads

Top co-authors

Adel Marghli
Adel Marghli

Abderrahmen Mami University Hospital

23
Tarek Kilani
Tarek Kilani

Abderrahmen Mami Hospital

14
Mona Mlika
Mona Mlika

Abderrahman Mami Hospital

6
Emna Braham
Emna Braham

Abderrahmen Mami Hospital

5
Aida Ayadi-Kaddour
Aida Ayadi-Kaddour

Abderrahmen Mami Hospital

5
Aida Ayadi-Kaddour
Aida Ayadi-Kaddour

Abderrahmen Mami Hospital

5
Olfa Ismail
Olfa Ismail

Abderrahmen Mami Hospital

4
Mohamed-Sadok Boudaya
Mohamed-Sadok Boudaya

Hôtel-Dieu University Hospital

3