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Lung resection for bronchiectasis in children.

O Zamir1, O Z Lernau, C Springer

  • 1Department of General and Paediatric Surgery, Hadassah University Hospital Mount Scopus, Jerusalem, Israel.

Zeitschrift Fur Kinderchirurgie : Organ Der Deutschen, Der Schweizerischen Und Der Osterreichischen Gesellschaft Fur Kinderchirurgie = Surgery in Infancy and Childhood
|October 1, 1987
PubMed
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Surgical resection of localized bronchiectasis in children offers significant symptom relief. Pulmonary resections are indicated for pediatric patients with persistent symptoms unresponsive to medical management.

Area of Science:

  • Pediatric Surgery
  • Pulmonology
  • Thoracic Surgery

Background:

  • Bronchiectasis in children presents significant challenges, often requiring intervention when medical management fails.
  • Localized disease and specific etiologies like foreign body aspiration necessitate tailored treatment approaches.

Purpose of the Study:

  • To evaluate the efficacy and outcomes of pulmonary resections in pediatric patients with symptomatic, localized bronchiectasis.
  • To identify common etiologies and postoperative complications associated with surgical intervention.

Main Methods:

  • Retrospective review of twenty children with bronchiectasis who underwent pulmonary resections over an 8-year period.
  • Analysis of patient demographics, etiology, surgical procedures, postoperative complications, and long-term follow-up outcomes.

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Main Results:

  • Pulmonary resections were performed on twenty children with significant, localized bronchiectasis unresponsive to medical treatment.
  • Lower lobes were most frequently affected; foreign body aspiration was a common cause (7 patients).
  • Fifteen of eighteen patients undergoing curative resection achieved long-term asymptomatic status, with atelectasis being the most common complication.

Conclusions:

  • Pulmonary resection is a viable and effective treatment for children with localized bronchiectasis refractory to medical therapy.
  • Surgical intervention can lead to significant long-term symptom improvement and a good quality of life in pediatric patients.