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Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer
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Postsplenectomy left lower lobe bronchiectasis.

Sameh I Sersar1

  • 1Cardiothoracic Surgery Department, Mansoura University, Mansoura, Egypt, and King Abdullah Medical City, Makkah, Saudi Arabia Sameh001@yahoo.com.

Asian Cardiovascular & Thoracic Annals
|May 29, 2014
PubMed
Summary
This summary is machine-generated.

Postsplenectomy left lower lobe bronchiectasis is an underestimated condition. Surgical removal of the left lower lobe (lobectomy) offers an effective management option with positive outcomes.

Keywords:
Bronchiectasisbronchoscopylobectomysplenectomy

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Area of Science:

  • Pulmonology
  • Thoracic Surgery
  • Clinical Medicine

Background:

  • Bronchiectasis incidence has declined.
  • A novel clinicopathological entity of postsplenectomy left lower lobe bronchiectasis is identified.
  • This condition is currently underestimated in clinical practice.

Purpose of the Study:

  • To describe the clinicopathological features of postsplenectomy left lower lobe bronchiectasis.
  • To evaluate the efficacy of left lower lobectomy for managing this condition.

Main Methods:

  • Retrospective study of 24 patients undergoing left lower lobectomy for postsplenectomy left lower lobe bronchiectasis.
  • Data collected included patient history, radiological findings (ultrasound, CT), surgical details, and follow-up.
  • Mean patient age was 34.6 years, with 19 males and 5 females.

Main Results:

  • All patients had a prior splenectomy; 10 had undergone drainage for subphrenic collections.
  • Mean follow-up for 10 patients was 5.8 years (range 2-13 years).
  • Fourteen patients were lost to follow-up.

Conclusions:

  • Postsplenectomy left lower lobe bronchiectasis represents an underrecognized clinical entity.
  • Left lower lobectomy is a viable surgical treatment for this condition.
  • The surgical approach yields acceptable patient outcomes.