Bronşektazide Klinik Özellikler ve Cerrahi Tedavinin Sonuçları

Abstract

Objective: This study aims to determine the clinical characteristics of the patients with bronchiectasis and evaluate the outcomes of surgery. Methods: Medical records of 18 patients (7 males and 11 females; mean age 44 years; range, 14 to 68 years) with bronchiectasis who underwent surgical resection at Our University, Medical Faculty, Thoracic Surgery Department between June 2012 and June 2017 were retrospectively reviewed. Follow-up data of the patients were obtained by the telephone or outpatient control visits. Patients were evaluated according to the age, sex, symptoms, diagnostic methods, localization of lesion, surgery performed, morbidity, mortality and results of surgical treatment. Results: The most frequent symptoms were chronic cough and sputum. Eight patients (45%) had left lung involvement, 9 patients (50%) had right lung involvement, and 1 patient (5%) had bilateral lung involvement. The most affected region by bronchiectasis was the left lower lobe in 6 patients (33%). Complete resection was applied to 16 patients (89%), while incomplete resection was applied to 2 patients (11%). Follow-up data of all patients were obtained. Mean follow-up period was 30 (Range: 5-65) months. While 17patients (95%) were completely recovered, and in one (5%) treatment failed. Conclusion: In patients with bronchiectasis, surgical resection is a good treatment option with a success rate 95%. It controls life-threatening complications like hemoptysis, provides satisfactory improvement in symptoms and quality of life.