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Eur J Cardiothorac Surg 2002;21:634-637
© 2002 Elsevier Science NL

Surgical treatment in bronchiectasis: analysis of 166 patients

Hakan Kutlay, Ayten Kayi Cangir, Serkan Enön, Ekber ahin, Murat Akal, Adem Güngör, Nezih Özdemir, evket Kavukçu^*

Department of Thoracic Surgery, Ankara University Medical School, Ankara, Turkey

Received 17 October 2001; received in revised form 29 December 2001; accepted 15 January 2002.

* Corresponding author. Ankara Üniversitesi Tip Fakültesi, bn-i Sina Hastanesi, Göüs Cerrahisi Anabilim Dali, 06100 Samanpazari-Ankara, Turkey. Tel.: +90-312-310-3333 ext. 2906; fax: +90-312-310-6371
e-mail: kayicangir{at}hotmail.com

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 1990 and 2000, 166 patients (92 female and 74 male patients) underwent pulmonary resection for bronchiectasis. The mean age was 34.1 years (range, 7–70 years). Mean duration of symptoms was 5.7 years. Results: Symptoms were copious amount of purulent sputum in 135 patients, expectoration of foul-smelling sputum in 109, hemoptysis in 35 and cough in all patients. The indication for pulmonary resection was failure of medical therapy in 158 patients, massive hemoptysis in five and lung abscess in three. The disease was bilateral in six patients and mainly confined to the lower lobe in 127. One hundred and twenty patients had a lobectomy, 13 had a pneumonectomy, 21 had a segmentectomy and a combination of these approaches in 18. Operative morbidity and mortality were seen in 18 (10.5%) and in three (1.7%) patients, respectively. Follow-up was complete in 148 patients with a mean of 4.2 years. Overall, 111 patients were asymptomatic after surgical treatment, symptoms were improved in 31, and unchanged or worse in six. Conclusions: Surgical treatment of bronchiectasis is more effective in patient with localized disease. It is satisfactory with acceptable ratio of morbidity and mortality.

Key Words: Bronchiectasis • Surgical treatment

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