BACKGROUND: We analyzed cases of bronchiectasis; its presentation, etiology, diagnosis, indications for surgery, surgical approach, and the outcome. METHODS: A retrospective analysis of 138 patients who underwent surgery for bronchiectasis. RESULTS: The mean age was 30.2±15.7 years. 55.8% patients were males. Symptoms were recurrent infection with cough in all patients, fetid sputum (79.7%), and hemoptysis (22.5%). The etiology was recurrent childhood infection (38.4%), pneumonia (29%), TB (9.4%), sequestration (4.3%), foreign body obstruction (4.3%), and unknown etiology (14.5%). CXR, CT scan, and bronchoscope were done for all patients. Bronchiectasis was left-sided in (55.1%) of patients. It was mainly confined to the lower lobes either alone (50.7%) or in conjunction with middle lobe or lingual (7.2%). Indications for resection were failure of conservative therapy (71.7%), hemoptysis (15.9%), destroyed lung (8%), and sequestration (4.3%). Surgery was lobectomy (81.2%), bilobectomy (8.7%), and pneumonectomy (8%). Complications occurred in 13% with no operative mortality. 84% of patients had relief of their preoperative symptoms. CONCLUSIONS: Surgery for bronchiectasis can be performed with acceptable morbidity and mortality at any age for localized disease. Proper selection and preparation of the patients and complete resection of the involved sites are required for the optimum control of symptoms and better outcomes.
BACKGROUND: We analyzed cases of bronchiectasis; its presentation, etiology, diagnosis, indications for surgery, surgical approach, and the outcome. METHODS: A retrospective analysis of 138 patients who underwent surgery for bronchiectasis. RESULTS: The mean age was 30.2±15.7 years. 55.8% patients were males. Symptoms were recurrent infection with cough in all patients, fetid sputum (79.7%), and hemoptysis (22.5%). The etiology was recurrent childhood infection (38.4%), pneumonia (29%), TB (9.4%), sequestration (4.3%), foreign body obstruction (4.3%), and unknown etiology (14.5%). CXR, CT scan, and bronchoscope were done for all patients. Bronchiectasis was left-sided in (55.1%) of patients. It was mainly confined to the lower lobes either alone (50.7%) or in conjunction with middle lobe or lingual (7.2%). Indications for resection were failure of conservative therapy (71.7%), hemoptysis (15.9%), destroyed lung (8%), and sequestration (4.3%). Surgery was lobectomy (81.2%), bilobectomy (8.7%), and pneumonectomy (8%). Complications occurred in 13% with no operative mortality. 84% of patients had relief of their preoperative symptoms. CONCLUSIONS: Surgery for bronchiectasis can be performed with acceptable morbidity and mortality at any age for localized disease. Proper selection and preparation of the patients and complete resection of the involved sites are required for the optimum control of symptoms and better outcomes.
Authors: M C Pasteur; S M Helliwell; S J Houghton; S C Webb; J E Foweraker; R A Coulden; C D Flower; D Bilton; M T Keogan Journal: Am J Respir Crit Care Med Date: 2000-10 Impact factor: 21.405
Authors: Thomas Stephen; Roy Thankachen; Andrew P Madhu; Nithya Neelakantan; Vinayak Shukla; Roy J Korula Journal: Asian Cardiovasc Thorac Ann Date: 2007-08
Authors: Montserrat Vendrell; Javier de Gracia; Casilda Olveira; Miguel Angel Martinez-Garcia; Rosa Girón; Luis Máiz; Rafael Cantón; Ramon Coll; Amparo Escribano; Amparo Solé Journal: Arch Bronconeumol Date: 2008-11 Impact factor: 4.872
Authors: C D Laros; J M Van den Bosch; C J Westermann; P G Bergstein; R G Vanderschueren; P J Knaepen Journal: J Thorac Cardiovasc Surg Date: 1988-01 Impact factor: 5.209