Surgery for non-localized bronchiectasis

Br J Surg. 2005 Jul;92(7):836-9. doi: 10.1002/bjs.4949.


Background: Resection for localized bronchiectasis is a well established therapy. However, there is little information on the role of surgery in non-localized bronchiectasis.

Methods: Between January 1992 and April 2001, 55 patients without cystic fibrosis underwent resection. Forty-eight patients (mean age 45 (range 23-74) years; 32 women) were available for long-term follow-up. Twenty-five patients underwent resection for localized disease (group 1) and 23 had bronchiectasis in at least two different lobes (group 2).

Results: Thirty-one of the 48 patients were treated by Video Assisted Thoracoscopic Surgery (VATS) resection. There was no 30-day mortality. Mean duration of hospital stay was 10.9 (range 6-31) days in group 1 and 11.1 (range 5-19) days in group 2. Three of 25 patients in group 1 required reoperation. Only minor complications occurred in group 2 (three patients). Mean follow-up for both groups was 37 (range 6-97) months. Twenty-three of 25 patients in group 1 and 16 of 23 in group 2 reported satisfaction at 6 months after the operation. Recurrent infection was noted in three patients in each group. Haemoptysis recurred in only one patient in group 2.

Conclusion: The surgical treatment of selected patients with non-localized bronchiectasis was safe and most patients were satisfied with the outcome.

MeSH terms

  • Adult
  • Aged
  • Bronchiectasis / surgery*
  • Chronic Disease
  • Female
  • Hemoptysis / etiology
  • Humans
  • Length of Stay
  • Male
  • Middle Aged
  • Recurrence
  • Respiratory Tract Infections / etiology
  • Thoracic Surgery, Video-Assisted / methods
  • Tomography, X-Ray Computed / methods