Surgical management of childhood bronchiectasis due to infectious disease

Abstract

Surgery for childhood bronchiectasis can be performed with low mortality and morbidity. Complete resection should be performed when possible.

Video-assisted thoracoscopic double lobectomy for bronchiectasis: A case report and literature review

“…However, the majority of these patients had congenital cystic lung disease, many of whom were diagnosed in utero; thus, they tended to be in good health and in the majority, not suffered any significant pulmonary infection. The advantage of pulmonary resection for treating chronic bronchiectasis has also been reported; [8] however, lobectomy is technically more difficult in these patients, especially, when there is a history of chest infections because the lung parenchyma is friable and fissures can become fused. Thus, dissection is more difficult, as evidenced by the longer average operating times and increased the blood loss in bronchiectasis patients.…”

Surgical management for complications of pediatric lung injury

“…To date, retrospective studies suggest complete symptom resolution in 42-73% of children who undergo surgical resection of the bronchiectatic portion of lung. [10][11][12] Symptom recurrence primarily is due to incomplete resection. Reported mortality rates for surgical resection are as high as 5.6%.…”

Surgical Treatment of Bronchiectasis

“…In developing countries, tuberculosis is still one of the most important causes of bronchiectasis. Bronchiectasis commonly develops between 1 and 3 months after the initial infection and usually in the same pulmonary region (Karakoc et al, 2001;Haciibrahimoglu et al, 2004). Deficiencies in immune function, especially in humoral immunity, cause children to be at risk for recurrent sinopulmonary infections, which can lead to the development of bronchiectasis.…”