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Surgical management of bronchiectasis in childhood

Mehmet Sirmali1, Sezgin Karasu, Hasan Türüt

  • 1Department of Thoracic Surgery, Süleyman Demirel University Medical School, Isparta, Turkey. mehmetsirmali@yahoo.com

European Journal of Cardio-Thoracic Surgery : Official Journal of the European Association for Cardio-Thoracic Surgery
|November 23, 2006
PubMed

Insights

Surgical treatment for childhood bronchiectasis in Turkey showed a 0% mortality rate and 13% morbidity. Complete resection led to a high cure rate and improved quality of life for pediatric patients.

Area of Science:

  • Pediatric Thoracic Surgery
  • Respiratory Medicine
  • Public Health in Developing Nations

Background:

  • Bronchiectasis remains a significant cause of childhood morbidity and mortality in developing countries like Turkey.
  • While prevalence is decreasing, effective management strategies are crucial for improving patient outcomes.

Purpose of the Study:

  • To review morbidity and mortality rates associated with childhood bronchiectasis.
  • To evaluate the outcomes of surgical interventions for pediatric bronchiectasis.

Main Methods:

  • Retrospective review of 176 pediatric patients (≤16 years) operated for bronchiectasis between 1991 and 2006.
  • Data collected included etiology, symptoms, radiological findings, surgical procedures, and postoperative outcomes.
  • Analysis of morbidity, mortality, and long-term follow-up after surgical resection.

Main Results:

  • Lung infection was the most common cause (49.4%). Common symptoms included coughing (94.9%) and sputum production (79%).
  • Complete resection was performed in 93.75% of cases, with a mean follow-up of 4.3 years.
  • Postoperative outcomes were excellent in 73.3% and improved in 23.3%, with 0% mortality and 13% morbidity.

Conclusions:

  • Surgical treatment for childhood bronchiectasis is a successful and reliable method.
  • Complete resection offers a high chance of cure and significantly improves quality of life.
  • Acceptable mortality and morbidity rates support surgical intervention for pediatric bronchiectasis.
Abstract

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