[Results of bronchiectasis surgery: About 64 cases]

Area of Science:

• Thoracic Surgery
• Pulmonology
• Medical Research

Background:

• Bronchiectasis is a severe, disabling lung condition.
• Early surgical consideration is vital for patients with complications or reduced quality of life, even with optimal medical management.
• This study evaluates surgical outcomes for bronchiectasis through a retrospective analysis and literature review.

Purpose of the Study:

• To analyze the surgical results for bronchiectasis.
• To assess the efficacy and outcomes of surgical interventions in patients with bronchiectasis.

Main Methods:

• A monocentric, retrospective, descriptive, and analytical study was conducted.
• Data from 64 patients operated for bronchiectasis between January 2009 and December 2016 were analyzed.
• Surgical procedures included lobectomy in 53% of cases, with a conservative posterolateral thoracotomy incision.

Main Results:

• The study included 30 men and 34 women, with an average age of 32. Key symptoms were productive cough (93%), chronic morning bronchorrhea (92%), and hemoptysis (62.5%).
• CT scans revealed unilateral bronchiectasis in 49 cases. Bronchoscopy identified rare conditions like carcinoid tumor, bronchiolithiasis, and foreign bodies.
• The morbidity rate was 32.80%, primarily due to septic complications. After a mean follow-up of 20.52 months, minimal recurrence was observed, with no deaths.

Conclusions:

• Surgical treatment for bronchiectasis can yield favorable outcomes with low recurrence rates.
• Optimal patient care necessitates close collaboration among pulmonologists, thoracic surgeons, anesthesiologists, biologists, and physiotherapists.
• Multidisciplinary teamwork is crucial for successful surgical management and improved patient prognosis in bronchiectasis.