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Surgical outcome of bronchiectasis in children: long term results of 60 cases
A Sahin1, F Meteroglu1, S Kelekci2
1Thoracic Surgery, Dicle University Hospital, Diyarbakir, Turkey.
Insights
Early surgical resection of bronchiectasis in children leads to successful outcomes. Prompt intervention and shorter symptom duration are crucial for better management and prognosis in pediatric bronchiectasis cases.
Area of Science:
- Pediatric Surgery
- Pulmonology
- Medical Research
Background:
- Bronchiectasis involves irreversible bronchial damage.
- Surgical treatment is an option for pediatric bronchiectasis.
- This study evaluates surgical practice and outcomes.
Purpose of the Study:
- To demonstrate surgical practice for pediatric bronchiectasis.
- To analyze outcomes of surgical treatment.
- To identify factors influencing surgical outcomes.
Main Methods:
- Retrospective analysis of 60 pediatric patients (2000-2013).
- Surgical resection was performed.
- Outcomes were analyzed for prognostic factors.
Main Results:
- Most common cause: childhood infection (41.66%).
- Atelectasis was the most frequent complication.
- 92% optimal outcome; morbidity 20%, mortality 3.33%.
Conclusions:
- Complete and early resection of bronchiectasis yields successful results.
- Symptom duration and timely intervention significantly impact prognosis.
- Key prognostic variables for morbidity include FEV1, hemoptysis, and symptom duration.
Background:
Bronchiectasis is described as destruction and the irreversible dilatation of bronchial structure. We wanted to demonstrate our surgical practice and outcome of surgical treatment in bronchiectasis.
Methods:
We studied records of 60 pediatric patients who underwent surgical resection in our clinic between January 2000 and January 2013. The results were analyzed regarding factors influencing the outcome.
Results:
There were 32 boys and 28 girls with a mean age of 9.45 years (range 2-15). The most common cause was childhood infection in 25 (41.66%). The mean duration of the symptoms was 42.93 months. Patients underwent 64 operations including 2 staged thoracotomies and 2 re-thoracotomies. Atelectasis was the most frequent complication. Longer duration of symptoms related to postoperative complication. The morbidity and mortality rates were 20% and 3.33%, respectively. The outcome was optimal in 92%. Forced expiratory volume in 1 s less than 60% of the predicted value, hemoptysis and duration of symptoms were found prognostic variables for postoperative morbidity with high ratios of odds coefficients by using Binary Logistic Regression Method.
Conclusions:
Complete and early resection of bronchiectasis provides a successful outcome. Duration of symptoms and timely intervention have a major impact on the management and prognosis.
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