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

Alkattan, Khaled; Essa, Mohamed A.; Hajjar, Waseem; Ashour, Mahmoud; Saleh, Waleed; Rafay, Mohamad A.

doi:10.1016/j.jtcvs.2005.06.026

Cited by 19 publications

(15 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Besides medical treatment and respiratory physiotherapy, surgical treatment is an eligible therapy for patients with non-CF bronchiectasis, especially to those with little response to conservative interventions 7 . Over the years, many studies have reported surgical intervention in the management of patients with non-CF bronchiectasis 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 . The surgical procedure was aimed at primary resection of the affected area, as assessed by high-resolution computed tomographic (HRCT).…”

mentioning

confidence: 99%

Efficiency and safety of surgical intervention to patients with Non-Cystic Fibrosis bronchiectasis: a meta-analysis

Fan

Liang

et al. 2015

Sci Rep

View full text Add to dashboard Cite

No quantitative systematic review was found to report the efficiency and safety of surgical resection in the management of non-cystic fibrosis (non-CF) bronchiectasis. We therefore conducted a meta-analysis to assess the effects of operative intervention to patients with non-CF bronchiectasis. PubMed, the Cochrane library and Web of Science databases were searched up to July 8th, 2015. The pooled mortality from 34 studies recruiting 4788 patients was 1.5% (95% CI, 0.9–2.5%). The pooled morbidity from 33 studies consisting of 4583 patients was 16.7% (95% CI, 14.8–18.6%). The pooled proportion of patients from 35 studies, consisting of 4614 patients who were free of symptoms was 66.5% (95% CI, 61.3–71.7%) after surgery. The summary proportion of patients from 35 articles including 4279 participants who were improved was 27.5% (95% CI, 22.5–32.5%), and 9.1% (95% CI, 7.3–11.5%) showed no clinical improvement. In conclusion, our analysis indicated that lung resection in the management of non-CF bronchiectasis is associated with significant improvements in symptoms, low risk of mortality and acceptable morbidity.

show abstract

mentioning

confidence: 99%

Efficiency and safety of surgical intervention to patients with Non-Cystic Fibrosis bronchiectasis: a meta-analysis

Fan

Liang

et al. 2015

Sci Rep

View full text Add to dashboard Cite

show abstract

“…2 For partial resection for nonlocalized bronchiectasis, the basic principle of the operation is to resect as little lung as one can (eg, lobectomy and segmentectomy, rather than pneumonectomy) in a palliative manner. 28 All patients had less than 50% bronchiectatic lung after lobectomy, which implies that at least half healthy lung should remain in nonlocalized bronchiectasis when surgery is considered. This should be interpreted with caution, however, because of the small number of patients included in our study.…”

Section: Discussionmentioning

confidence: 99%

Surgery for predominant lesion in nonlocalized bronchiectasis

Dai

Zhu

Bian

et al. 2017

The Journal of Thoracic and Cardiovascular Surgery

View full text Add to dashboard Cite

show abstract

“…Konservatif tedavi uygulanır. Çoğunluğunu kistik fibrozisli hastaların oluşturduğu seçilmiş olgularda ise kombine kalp-akciğer veya çift akciğer transplantasyonu yapılabilir (14). Günümüzde bronşektazide cerrahi tedavi; kabul edilebilir 8-24,6% morbidite ve 0-2,2% mortalite oranları ile uygulanmaktadır (3,8).…”

Section: Discussionunclassified

Surgical Treatment in Bronchiectasis: Results of 191 Patients

Özkan¹,

Sakallı²,

Yenigün³

et al. 2019

atfm

View full text Add to dashboard Cite

Objectives: To investigate the long-term follow-up results of the patients who underwent surgery with bronchiectasis and whether there is a difference in clinical results compared to complete or incomplete resection. Materials and Methods: A total of 191 patients who underwent surgery with the diagnosis of bronchiectasis were enrolled in Ankara University Faculty of Medicine Department of Thoracic Surgery between 1990 and 2002. The age and the gender of the patients, preoperative symptoms, localization of disease, resection indications, type of resection, complications encountered in the postoperative period, operative mortality and the association between complete/incomplete resection and postoperative symptoms were evaluated, retrospectively. Results: The indications for surgery were failure of medical therapy in 181 patients (94.8%), massive hemoptysis in five (2.6%), lung abscess in three (1.6%) and bronchiectasis due to foreign body aspiration in two (1%). In the postoperative period, 173 patients could be followed up clinically and radiologically with an average of 4.6 years (1 month to 10 years). When complete resection and incomplete resection results were compared, of the 155 patients who underwent complete resection, 135 (87.1%) were asymptomatic, 18 (11.6%) had a significant regression, and two (1.3%) had no change of preoperative symptoms, of the 18 patients who underwent incomplete resection, 14 (77.8%) had a significant regression, while 4 (22.2%) had no change of preoperative symptoms. The results of complete resection were significantly better than those of incomplete resection (p<0.05). Conclusion: Symptomatic localized bronchiectasis cases are the most appropriate candidates for surgical treatment. Resection should be complete. Incomplete resection is the most important determinant in the continuation of symptoms after surgical treatment.

show abstract

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

Cited by 19 publications

References 20 publications

Efficiency and safety of surgical intervention to patients with Non-Cystic Fibrosis bronchiectasis: a meta-analysis

Efficiency and safety of surgical intervention to patients with Non-Cystic Fibrosis bronchiectasis: a meta-analysis

Surgery for predominant lesion in nonlocalized bronchiectasis

Surgical Treatment in Bronchiectasis: Results of 191 Patients

Contact Info

Product

Resources

About