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The Evaluation Of 290 Patients With Bronchiectasis Who Had Surgical Therapy FREE TO VIEW

Eyup Isitmangil, MD; Nurettin Yiyit, MD; Fatih Candas, MD; Akin Yildizhan, MD; Rauf Gorur, MD; Oryal Erdik, MD; Saban Sebit, MD; Habil Tunc, MD
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GATA Haydarpasa Training Hospital, Istanbul, Turkey

Chest. 2011;140(4_MeetingAbstracts):842A. doi:10.1378/chest.1119001
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PURPOSE: Bronchiectasis is defined by the permanent dilatation of the bronchi and caused by a recurrent process of transmural infection and inflammation. It was aimed to evaluate 290 patients with 292 surgical interventions for bronchiectasis in our clinic between January 1993 and December 2010.

METHODS: Out of all patients 276 were male and 14 were female and mean age was 23,55 (14-71). The most common complaints were cough and sputum expectoration. Left lung of 8 patients and right lung of one patient were entirely bronchiectasic (destroyed lung). In other 281 patients, 120 of bronchiectasic lesions were in the right lung and 231 were in the left lung. In two patients there was bilateral bronchiectasis.

RESULTS: These 292 surgical operations were done with thoracotomy in 286 surgical interventions and with VATS in 6 interventions. Right middle lobectomy in 5 patients and wedge resection in one patient were performed with VATS. Two patients with bilateral bronchiectasis were operated in different sessions. Eight left pneumonectomies, one right pneumonectomy, 1 right upper bilobectomy, 7 right lower bilobectomies, 221 lobectomies, 26 lingulectomies, 27 segmentectomies and 60 wedge resections were performed with thoracotomy. Rethoracotomy was performed in four patients for postoperative complications. One patient who had left pneumonectomy died in postoperative period.

CONCLUSIONS: Surgical treatment of bronchiectasis is usually successful and can be accomplished with minimal morbidity or mortality.

CLINICAL IMPLICATIONS: The purpose of the surgical procedure should be to remove all involved segments while preserving maximum function.

DISCLOSURE: The following authors have nothing to disclose: Eyup Isitmangil, Nurettin Yiyit, Fatih Candas, Akin Yildizhan, Rauf Gorur, Oryal Erdik, Saban Sebit, Habil Tunc

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