Surgical Treatment in Bronchiectasis: Analysis of 86 Patients
Abstract
Background: Bronchiectasis is usually caused by pulmonary infections and bronchial obstruction. It is still a serious problem in developing countries as our country. We reviewed the morbidity and mortality rates and outcome of surgical treatment for bronchiectasis. Patients and methods: Between years 2000 and 2014, eighty-six (86) patients (55 female and 31 male) underwent pulmonary resection for bronchiectasis. The mean age was 35years (range, 13–60 years). Mean duration of symptoms was 12 years. Results: Symptoms were copious amount of purulent sputum in 73 patients, expectoration of foul-smelling sputum in 65, hemophtysis in 13 and cough in all patients. The indication for pulmonary resection was failure of medical therapy in 66 patients, massive hemoptysis in eighteen and lung abscess in four patients. The disease was bilateral in fifteen patients and mainly confined to the lower lobe. Seventy-seven patients had a lobectomy, 8 had a segmentectomy, one patient right pneumonectomy. Operative morbidity were seen in 18 (20, 9%) and mortality were seen in two patients. Follow-up was complete in 84 patients with a mean of 5 years. Overall, 68 patients were asymptomatic after surgical treatment; symptoms were improved in 13, and unchanged or worse in 5. Conclusions: Surgical treatment of bronchiectasis is more effective in patient with localized disease. It is satisfactory with acceptable ratio of morbidity and mortality.
Keywords: Bronchiectasis, Surgical treatment, Hemophtisis.
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