ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Surgical treatment of bronchiectasis: Our 23 years of experience
Selim Şakir Erkmen Gülhan1, Leyla Nesrin Acar1, Ebru Sayılır Güven1, Pınar Bıçakçıoğlu1, Ertan Aydın2, Sezgin Karasu3, Abdullah İrfan Taştepe4, Funda İncekara1, Sadi Kaya1, Göktürk Fındık1
1Department of Thoracic Surgery, Atatürk Chest Diseases and Thoracic Surgery Training and Research Hospital, Ankara, Turkey
2Department of Thoracic Surgery, Liv Private Hospital, Ankara, Turkey
3Department of Thoracic Surgery, Ankara Training and Research Hospital, Ankara, Turkey
4Department of Thoracic Surgery, Gazi University Hospital, Ankara, Turkey
DOI : 10.5606/tgkdc.dergisi.2020.19389
Background: In this study, we aimed to evaluate the success of surgery and a complete resection for bronchiectasis treatment and to present our 23 years of surgical experience.

Methods: Between January 1991 and December 2013, a total of 1,357 patients (667 males, 690 females; mean age 30.5±14.3 years; range, 3 to 73 years) with the diagnosis of bronchiectasis who underwent pulmonary resection in our clinic were retrospectively analyzed. Demographic and clinical characteristics of the patients, etiologies, symptoms, localizations, surgical procedures, and long-term follow-up results were evaluated.

Results: There were 1,394 surgeries, as 37 (2.7%) patients had bilateral disease. The surgical procedures included lobectomy (n=702, 50.3%), pneumonectomy (n=183, 13.1%), segmental resections (n=114, 8.2%), bilobectomy (n=83, 6.0%), and lobectomy + segmentectomy (n=312, 22.4%). During the postoperative period, 1,269 (93.5%) patients were followed at a mean duration of 51.6 (range, 1 to 120) months. After surgery, 774 (61%) patients were asymptomatic, 456 (35.9%) showed an improvement, and 39 (3.1%) had no response or deterioration.

Conclusion: The surgical treatment plays an important role in the clinical and symptomatic improvement of patients with bronchiectasis. Surgery reduces the morbidity and mortality rates with careful preoperative preparation and appropriately selected cases.

Keywords : Bronchiectasis, resection, surgery
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