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[Bronchiectasis: indication and timing for surgery]

T Etienne1, A Spiliopoulos, R Megevand

  • 1Département de Chirurgie, Hôpital Cantonal Universitaire, Genève, Suisse.

Annales De Chirurgie
|January 1, 1993
PubMed
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Surgery can significantly improve outcomes for localized bronchiectasis, especially when performed before complications arise. For extensive or complicated disease, surgical results are less favorable and carry higher risks.

Area of Science:

  • Pulmonology
  • Thoracic Surgery

Background:

  • Bronchiectasis management continues to evolve, yet surgical intervention remains necessary for some patients.
  • The efficacy and optimal timing of surgical resection for bronchiectasis require ongoing evaluation.

Purpose of the Study:

  • To reassess the long-term efficacy and indications for surgical resection in patients with bronchiectasis.
  • To evaluate surgical outcomes based on disease extent and complications.

Main Methods:

  • Retrospective review of 85 patients who underwent surgery for bronchiectasis between 1971 and 1991.
  • Long-term outcomes assessed via questionnaire or medical evaluation in 73 patients (86%).

Main Results:

  • Surgery was indicated for persistent symptoms (51%), local complications (33%), and pulmonary mass lesions (16%).

Related Experiment Videos

  • In localized disease (N=49), 91% experienced significant improvement post-surgery.
  • In extensive/complicated disease (N=36), 62% had satisfactory results, while 38% had poor outcomes, with 4 postoperative deaths.

    • Conclusions:

    • For localized bronchiectasis with recurrent symptoms, early surgical resection before complications offers the best chance for cure or significant improvement.
    • Surgical treatment for extensive or complicated bronchiectasis is less rewarding and associated with higher morbidity and mortality.