Status of thoracic organ transplantation in Saudi Arabia

Alkattan, Khaled; Shaheen, Faissal A M; Al‐Halees, Zohair; Fouda, Mohammed; Ashour, Mahmoud; Bazerbashi, Mohamad; Sani, Ahmad Zainuddin

doi:10.1016/s0041-1345(00)01309-9

Cited by 2 publications

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“…In cases of bilateral cystic bronchiectasis, the role of surgery is limited to life-threatening complications as a palliative measure, and such patients should be listed for lung transplantation if respiratory failure occurs. 21 Pseudomonas infection and underlying COPD were poor prognostic factors (P Ͻ .05) in our study. Other studies 23 have described several prognostic factors that predicted good operative results, such as a history of pneumonia, no or minor airway obstruction, absence of sinusitis-rhinitis, young age at the time of operation, and restricted unilateral bronchiectasis in the basal segments of the lower lobes.…”

Section: Discussionsupporting

confidence: 47%

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Surgical results for bronchiectasis based on hemodynamic (functional and morphologic) classification

Alkattan

Essa

Hajjar

et al. 2005

The Journal of Thoracic and Cardiovascular Surgery

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Section: Discussionsupporting

confidence: 47%

“…Transplantation remains indicated for diffuse cystic disease with seriously compromised pulmonary function and chronic respiratory failure. [19][20][21] Pneumonectomy was done in 12 patients, predominantly as expected on the left side because of the anatomy of left bronchus syndrome. 22 Complications usually range between 9.4% and 24.6%.…”

Section: Discussionmentioning

confidence: 99%

Surgical results for bronchiectasis based on hemodynamic (functional and morphologic) classification

Alkattan

Essa

Hajjar

et al. 2005

The Journal of Thoracic and Cardiovascular Surgery

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“…In our cases of mixed bilateral localized bronchiectasis, most of the patients had improvement with low morbidity after resection of the localized areas. In cases of bilateral cystic bronchiectasis, the role of surgery is limited to life-threatening complications as a palliative measure and such patients should be listed for lung transplantation if respiratory failure occurs [20]. …”

Section: Discussionmentioning

confidence: 99%

A long-term study assessing the factors influencing survival and morbidity in the surgical management of bronchiectasis

Şehitoğulları

Bilici

Sayır

et al. 2011

J Cardiothorac Surg

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BackgroundAlthough the prevalence of bronchiectasis decreased significantly in developed countries, in less developed and in developing countries, it still represents a significant cause of morbidity and mortality. The aim of this retrospective study is to present our surgical experiences, the morbidity and mortality rates and outcome of surgical treatment for bronchiectasis.MethodsWe reviewed the medical records of 129 patients who underwent surgical resection for bronchiectasis between April 2002 and April 2010, at Van Training and Research Hospital, Thoracic Surgery Department. Variables of age, sex, symptoms, etiology, and surgical procedures, mortality, morbidity and the result of surgical therapy were analyzed retrospectively.ResultsMean age was 21.8 year (the eldest was 67 year, the youngest was 4 years-old). Male/female ratio was 1.86 and 75% of all patients were young population under the age of 40. Bilateral involvement was 14.7%, left/right side ratio according to localization was 2.1/1. The most common reason for bronchiectasis was recurrent infection. Surgical indications were as follows: recurrent infection (54%), hemoptysis (35%), empyema (6%), and lung abscess (5%). There was no operative mortality. Complications occurred in 29 patients and the morbidity rate was 22.4%. Complete resection was achieved in 110 (85.2%) patients. Follow-up data were obtained for 123 (95%) of the patients. One patient died during follow-up. The mean follow-up of this patient was 9 months. Mean postoperative hospitalization time was 9.15 ± 6.25 days. Significantly better results were obtained in patients who had undergone a complete resection.ConclusionsSurgical treatment of bronchiectasis can be performed with acceptable morbidity and mortality at any age. The involved bronchiectatic sites should be resected completely for the optimum control of symptoms.

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Status of thoracic organ transplantation in Saudi Arabia

Cited by 2 publications

References 1 publication

Surgical results for bronchiectasis based on hemodynamic (functional and morphologic) classification

Surgical results for bronchiectasis based on hemodynamic (functional and morphologic) classification

A long-term study assessing the factors influencing survival and morbidity in the surgical management of bronchiectasis

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