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Related Experiment Videos

Surgical management of bronchiectasis

T Agasthian1, C Deschamps, V F Trastek

  • 1Section of General Thoracic Surgery, Mayo Clinic, Rochester, Minnesota 55905, USA.

The Annals of Thoracic Surgery
|October 1, 1996
PubMed
Summary

Surgical resection for bronchiectasis offers low mortality and morbidity. Achieving complete disease removal improves patient outcomes, making it the preferred approach when feasible.

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Area of Science:

  • Pulmonary Medicine
  • Thoracic Surgery
  • Surgical Outcomes

Background:

  • Bronchiectasis prevalence has declined in recent decades.
  • This study evaluates surgical treatment outcomes for bronchiectasis in the modern antibiotic era.
  • Assessing morbidity, mortality, and long-term results of pulmonary resection for bronchiectasis.

Purpose of the Study:

  • To review the morbidity, mortality, and outcomes of surgical treatment for pulmonary bronchiectasis.
  • To analyze the effectiveness of pulmonary resection in the current era of antibiotic therapy.
  • To determine factors influencing surgical success in bronchiectasis management.

Main Methods:

  • Retrospective review of 134 patients undergoing pulmonary resection for bronchiectasis between January 1976 and January 1993.

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  • Analysis of patient demographics, indications for surgery, symptom duration, disease extent, and surgical procedures performed.
  • Evaluation of operative mortality, morbidity rates, and follow-up outcomes, including symptom resolution and recurrence.

    • Main Results:

    • Operative mortality was 2.2%, and morbidity was 24.6%.
    • At a mean follow-up of 6 years, 59.2% of patients were asymptomatic, and 29.1% reported improved symptoms.
    • Complete resection (80.6% of cases) was associated with significantly better outcomes compared to incomplete resection (p < 0.05).

    Conclusions:

    • Pulmonary resection for bronchiectasis can be performed with acceptable mortality and morbidity rates.
    • Complete resection of bronchiectatic segments is crucial for optimizing patient outcomes.
    • Surgical intervention remains a viable option for select patients with refractory bronchiectasis.