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[Experience in the surgical treatment of chronic suppurative lung disease in children]

S A Voronov, L Ts Ioffe, V I Iakovleva

    Grudnaia I Serdechno-Sosudistaia Khirurgiia
    |January 1, 1990
    PubMed

    Insights

    Surgical interventions for pediatric cystic hypoplasia and bronchiectasis in 750 children showed a low mortality rate. However, recurrent bronchiectasis occurred in some cases, particularly those with dysontogenetic origins.

    Area of Science:

    • Pediatric Surgery
    • Thoracic Surgery
    • Respiratory Medicine

    Context:

    • Cystic hypoplasia and bronchiectasis are significant respiratory conditions in children.
    • Surgical management is often necessary for severe or refractory cases.
    • This study examines a large cohort of pediatric patients undergoing thoracic surgery for these conditions.

    Purpose:

    • To evaluate the outcomes and complications of surgical interventions for cystic hypoplasia and bronchiectasis in children.
    • To analyze the types of operations performed and their associated results.
    • To identify factors contributing to recurrent disease.

    Summary:

    • A total of 750 children underwent various surgical procedures including pulmonectomy, lobectomy, and bronchial resection for cystic hypoplasia and bronchiectasis.
    • Complications such as atelectasis, pneumonia, and hemorrhage occurred in 11.6% of patients.
    • Mortality was low at 0.8%, but 27 children experienced recurrent bronchiectasis, predominantly those with dysontogenetic forms.

    Impact:

    • Provides critical data on the efficacy and risks of surgical treatment for pediatric cystic hypoplasia and bronchiectasis.
    • Highlights the challenge of recurrent disease, especially in dysontogenetic bronchiectasis, guiding future treatment strategies.
    • Informs clinical decision-making for pediatric thoracic surgeons managing these complex conditions.
    Abstract

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