ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Analysis of bronchiectasis patients who underwent video-assisted thoracoscopic surgery in a tertiary thoracic surgery center: Ten years of experience
Koray Aydoğdu1, Mehmet Çetin1, Emre Yılmaz2, Şevki Mustafa Demiröz3, İlteriş Türk4, Funda İncekara4, Ali Alagöz5, Göktürk Fındık4
1Department of Thoracic Surgery, University of Health Sciences, Ankara Etlik City Hospital, Ankara, Türkiye
2Department of Thoracic Surgery, University of Health Sciences, Ankara City Hospital, Ankara, Türkiye
3Department of Thoracic Surgery, Gazi University Faculty of Medicine, Ankara, Türkiye
4Department of Thoracic Surgery, University of Health Sciences, Ankara Atatürk Sanatoryum Training and Research Hospital, Ankara, Türkiye
5Department of Anesthesiology and Reanimation, University of Health Sciences, Ankara Atatürk Sanatoryum Training and Research Hospital, Ankara, Türkiye
DOI : 10.5606/tgkdc.dergisi.2024.25891
Background: This study aimed to analyze our video-assisted thoracic surgery (VATS) experience in the surgical treatment of bronchiectasis and the reasons limiting VATS application.

Methods: Two hundred one patients (106 males, 95 females; mean age: 39.7±14.1 years; range, 12 to 68 years) who underwent surgical treatment for bronchiectasis between January 2012 and October 2021 were included in the retrospective study. Three groups were created based on the surgical technique used: VATS, thoracotomy, and patients who were converted from VATS to thoracotomy.

Results: The most significant presenting symptoms were cough (43%) and excessive sputum expectoration (40%). Surgical intervention was applied to the left side of 60% of the patients, and the most common resection performed in all three groups was left lower lobectomy. The rate of conversion from VATS to thoracotomy was 28.8%, and it was found that dense pleural adhesions were the most common reason. Revision surgery was performed on a total of 11 (5.47%) patients. The frequency of revision surgery did not differ significantly among the three groups (p=0.943). The most common postoperative complication was prolonged air leakage. There was no statistically significant difference in postoperative complication rates among the groups (p=0.417). The rate of surgical treatment of bronchiectasis with VATS was observed to have increased from 11.1% to 77.7% in our clinic.

Conclusion: In experienced hands, VATS can be safely applied in the surgical treatment of bronchiectasis.

Keywords : Bronchiectasis, thoracotomy, video-assisted thoracic surgery
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