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Current strategy for surgical management of bronchiectasis
T Fujimoto1, L Hillejan, G Stamatis
1Department of Thoracic Surgery and Endoscopy, Ruhrlandklinik, Essen-Heidhausen, Germany. fjmtt@aol.com
The Annals of Thoracic Surgery
|November 28, 2001
Summary
Surgical resection for bronchiectasis is safe and effective, particularly for patients with cylindrical bronchiectasis. Chronic sinusitis may indicate a higher risk for surgical intervention.
Area of Science:
- Pulmonary Medicine
- Thoracic Surgery
- Surgical Outcomes
Background:
- Surgical management for bronchiectasis is infrequently reported due to declining prevalence.
- Identifying optimal patient subgroups for surgical intervention remains controversial.
Purpose of the Study:
- To evaluate the outcomes of surgical resection for bronchiectasis.
- To identify factors influencing surgical success in bronchiectasis patients.
Main Methods:
- Retrospective review of 90 patients undergoing 92 surgical resections for bronchiectasis between 1990 and 1997.
- Analysis of patient demographics, presenting symptoms, surgical procedures, and postoperative outcomes.
- Logistic regression used to identify prognostic factors.
Main Results:
- No operative mortality and a 19.6% morbidity rate were observed.
- 45.6% of patients were asymptomatic postoperatively, with 38.0% improved.
- Cylindrical bronchiectasis, absence of sinusitis, and complete resection were associated with better outcomes.
Conclusions:
- Surgical treatment for bronchiectasis is feasible with acceptable risks.
- Cylindrical bronchiectasis patients are suitable candidates for surgery.
- Complete resection and management of chronic sinusitis are important considerations for surgical success.