Risk factors affecting outcome and morbidity in the surgical management of bronchiectasis

Abstract

A history of tuberculosis and incomplete resection were risk factors both for postoperative complications and for a worse operative result. The lack of a preoperative bronchoscopic examination and a low forced expiratory volume in 1 second were risk factors for postoperative complications. Surgery for multiple segments on different lobes should be performed whenever possible.

Lady Windermere revisited: treatment with thoracoscopic lobectomy/segmentectomy for right middle lobe and lingular bronchiectasis associated with non-tuberculous mycobacterial disease☆

“…The experience reported here is especially relevant in light of a number of recent studies reinforcing a role for the surgical management of bronchiectasis, particularly for localized lesions [12][13][14][15]. The role of surgery for patients with non-NTM associated bronchiectasis parallels that for pulmonary NTM patients: to eliminate damaged segments or lobes contributing to overwhelming secretions, to eliminate sources of hemoptysis, and to remove damaged lung suspected of harboring problematic organisms [16].…”

“…The role of surgery for patients with non-NTM associated bronchiectasis parallels that for pulmonary NTM patients: to eliminate damaged segments or lobes contributing to overwhelming secretions, to eliminate sources of hemoptysis, and to remove damaged lung suspected of harboring problematic organisms [16]. Recent studies, including a 790-patient cohort by Zhang et al [15] used primarily an open approach to resection and reported symptom improvement for 70-98% or more of patients treated [12][13][14][15]. Morbidity ranged from 11% to 23% and mortality ranged from 0% to 1.7%.…”

Surgical management of bronchiectasis: The indications and outcomes

“…However, some patients do not experience any etiologic factor. [8][9][10][11] Some have underlying diseases like cystic fi brosis, requiring that surgical procedures be chosen carefully to prevent complications and mortality. 12 The percentage of recurrent pulmonary infections starting from childhood was 21%, and the percentage of patients who did not have any etiologic factors was 26%.…”

The Influence of Specific Factors on Postoperative Morbidity in Young Adults with Bronchiectasis

“…As bronchiectasis has an inflammatory basis, surgical treatment of the disease carries a considerable increased risk in both pre and postoperative periods [7,8]. Current mortality rates, ranging from 1 to 9%, are reported to be declining by virtue of advanced surgical care [2][3][4][9][10][11][12].…”

“…However, few reports have particularly focused on the prediction of postoperative morbidity by using preoperative measures [7,8]. In this study, we present our seven-year experience with a special focus on the influence of some specific factors on postoperative morbidity on young adult patients who were treated surgically with the diagnosis of bronchiectasis.…”