Related Experiment Videos
Surgery for unilateral bronchiectasis: results and prognostic factors
M Ashour1, K M Al-Kattan, S K Jain
1Division of Thoracic Surgery, King Khalid University Hospital, Riyadh, Saudi Arabia.
Tubercle and Lung Disease : the Official Journal of the International Union Against Tuberculosis and Lung Disease
|April 1, 1996
Summary
Surgery for unilateral bronchiectasis offers good outcomes in selected patients. However, Pseudomonas aeruginosa infection and obstructive airway disease negatively impact cure rates following surgical intervention.
Area of Science:
- Thoracic Surgery
- Pulmonary Medicine
- Surgical Outcomes Research
Background:
- Unilateral bronchiectasis presents a unique challenge in thoracic surgery.
- Surgical intervention aims to improve outcomes for patients with this condition.
Purpose of the Study:
- To evaluate the surgical results for unilateral bronchiectasis.
- To identify factors influencing postoperative outcomes in these patients.
Main Methods:
- Retrospective analysis of 40 patients undergoing surgery for unilateral bronchiectasis.
- Data collected from King Khalid University Hospital between July 1987 and May 1993.
Main Results:
- No operative mortality was observed.
- Postoperative complications occurred in 15% of patients (bleeding, air leak).
- 72.5% of patients were cured, and 27.5% improved at an average follow-up of 30.7 months.
- Pseudomonas aeruginosa infection and obstructive airway disease were associated with significantly lower cure rates (P=0.02 and P=0.002, respectively).
Conclusions:
- Surgical resection is a safe and effective treatment for selected patients with unilateral bronchiectasis.
- Pseudomonas aeruginosa infection and obstructive airway disease are negative prognostic factors for cure.