Surgical treatment of bronchiectasis: Our 23 years of experience

Surgery reduces the morbidity and mortality rates with careful preoperative preparation and appropriately selected cases.Keywords:Bronchiectasis, resection, surgery.

📌 3 Key Takeaways

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Objective & Hypothesis:Background:In this study, we aimed to evaluate the success of surgery and a complete resection for bronchiectasis treatment and to present our 23 years of surgical experience.Methods: Between January 1991 and December 2013, a total of 1,357 patients (667 males, 690 females; mean age 30.5±14.3 years; range, 3 to 73 years) with the diagnosis of bronchiectasis who underwent pulmonary resection in our clinic were retrospectively analyzed.

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Key Findings & Data:Demographic and clinical characteristics of the patients, etiologies, symptoms, localizations, surgical procedures, and long-term follow-up results were evaluated.Results:There were 1,394 surgeries, as 37 (2.7%) patients had bilateral disease.

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Conclusion & Impact:Surgery reduces the morbidity and mortality rates with careful preoperative preparation and appropriately selected cases.Keywords:Bronchiectasis, resection, surgery.

🔬Design:Research Article

📍Scope:2013 Verileri

⚙️Variables:Domain Parameters

Abstract

Background:In this study, we aimed to evaluate the success of surgery and a complete resection for bronchiectasis treatment and to present our 23 years of surgical experience.Methods: Between January 1991 and December 2013, a total of 1,357 patients (667 males, 690 females; mean age 30.5±14.3 years; range, 3 to 73 years) with the diagnosis of bronchiectasis who underwent pulmonary resection in our clinic were retrospectively analyzed. Demographic and clinical characteristics of the patients, etiologies, symptoms, localizations, surgical procedures, and long-term follow-up results were evaluated.Results:There were 1,394 surgeries, as 37 (2.7%) patients had bilateral disease. The surgical procedures included lobectomy (n=702, 50.3%), pneumonectomy (n=183, 13.1%), segmental resections (n=114, 8.2%), bilobectomy (n=83, 6.0%), and lobectomy + segmentectomy (n=312, 22.4%). During the postoperative period, 1,269 (93.5%) patients were followed at a mean duration of 51.6 (range, 1 to 120) months. After surgery, 774 (61%) patients were asymptomatic, 456 (35.9%) showed an improvement, and 39 (3.1%) had no response or deterioration.Conclusion:The surgical treatment plays an important role in the clinical and symptomatic improvement of patients with bronchiectasis. Surgery reduces the morbidity and mortality rates with careful preoperative preparation and appropriately selected cases.Keywords:Bronchiectasis, resection, surgery.

Özet

Amaç: Bu çalışmada, bronşektazi tedavisinde cerrahinin ve tam rezeksiyonun başarısı değerlendirildi ve 23 yıllık cerrahi deneyimimiz sunuldu.Ç a l ı ş m a p l a n ı :Ocak 1991 - Aralık 2013 tarihleri arasında kliniğimizde bronşektazi tanısı ile pulmoner rezeksiyon yapılan toplam 1.357 hasta (667 erkek, 690 kadın; ort. yaş 30.5±14.3 yıl); dağılım, 3-73 yıl) retrospektif olarak incelendi. Hastaların demografik ve klinik özellikleri, etiyolojileri, semptomları, lokalizasyonları, cerrahi işlemler ve uzun dönem takip sonuçları değerlendirildi.Bul gu lar: Hastaların 37’sinde (52.7) iki taraflı hastalık olduğu için toplam 1.394 cerrahi yapıldı. Cerrahi işlemler arasında lobektomi (n=702, %50.3), pnömonektomi (n=183, %13.1), segmental rezeksiyonlar (n=114, %8.2), bilobektomi (n=83, %6.0) ve lobektomi + segmentektomi (n=312, %22.4) vardı. Ameliyat sonrası dönemde 1.269 (%93.5) hasta ortalama 51.6 (dağılım, 1-120) ay süre ile takip edildi. Ameliyat sonrasında hastaların 774’ü (%61) asemptomatik idi, 456’sında (%35.9) iyileşme görüldü ve 39’unda (%3.1) yanıt ya da kötüleşme yoktu.S o n u ç :Bronşektazili hastalarda cerrahi tedavi, klinik ve semptomatik iyileşmede önemli bir rol oynamaktadır. Cerrahi, titiz bir ameliyat öncesi hazırlık ve uygun şekilde seçilmiş olgularda morbidite ve mortalite oranlarını azaltır.A n a h t a r s ö z c ü k l e r :Bronşektazi, rezeksiyon, cerrahi.

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Cite This Article

İNCEKARA, F., FINDIK, G., TAŞTEPE, A. İ., GÜVEN, E. S., GÜLHAN, S. Ş. E., KAYA, S., ACAR, L. N., BIÇAKÇIOĞLU, P., AYDIN, E., KARASU, S. (2022). Surgical treatment of bronchiectasis: Our 23 years of experience. Türk Göğüs Kalp Damar Cerrahisi Dergisi, Cilt: 28 - Sayı: 4, 629–637. https://ajindex.com/articles/423617

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