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[Repeated lung resections in patients with bronchiectasis].

O V Aleksandrow, V I Vasil'ev

    Vestnik Khirurgii Imeni I. I. Grekova
    |September 1, 1975
    PubMed
    Summary

    Repeat pneumonectomies were performed on 35 patients for residual or recurrent bronchiectasis. Segmental resections are preferred for residual cases, while complete lung removal is necessary for persistent atelectasis with complications.

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    Area of Science:

    • Pulmonology
    • Thoracic Surgery

    Background:

    • Bronchiectasis is a chronic lung condition characterized by irreversible airway dilation.
    • Residual or recurrent bronchiectasis can necessitate further surgical intervention after initial treatment.

    Purpose of the Study:

    • To evaluate the outcomes of repeat pneumonectomies in patients with residual and recurrent bronchiectasis.
    • To determine the indications for segmental resections versus complete lung removal in complex bronchiectasis cases.

    Main Methods:

    • Retrospective analysis of 1000 patients with bronchiectasis.
    • Identification of 35 patients who underwent repeat pneumonectomies.
    • Review of surgical indications and outcomes for residual and recurrent bronchiectasis.

    Main Results:

    • Repeat pneumonectomies were performed in 35 out of 1000 patients for bronchiectasis.
    • Segmental resections are indicated for residual bronchiectasis.
    • Complete lung removal is the radical treatment for persistent atelectasis with bronchial fistula, chronic pleural empyema, and bronchiectasis.

    Conclusions:

    • Repeat pneumonectomy is a viable option for managing refractory bronchiectasis.
    • Surgical strategy for bronchiectasis depends on the specific clinical presentation and complications.
    • Radical treatment involving removal of remaining lung portions may be required for severe, persistent cases.

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