title: Surgical treatment in bronchiectasis: analysis of 166 patients.
abstract: BACKGROUND
  Bronchiectasis is usually caused by pulmonary infections and bronchial obstruction. It is still a serious problem in developing countries as our country. We reviewed the morbidity and mortality rates and outcome of surgical treatment for bronchiectasis.
  
  
  METHODS
  Between 1990 and 2000, 166 patients (92 female and 74 male patients) underwent pulmonary resection for bronchiectasis. The mean age was 34.1 years (range, 7-70 years). Mean duration of symptoms was 5.7 years.
  
  
  RESULTS
  Symptoms were copious amount of purulent sputum in 135 patients, expectoration of foul-smelling sputum in 109, hemoptysis in 35 and cough in all patients. The indication for pulmonary resection was failure of medical therapy in 158 patients, massive hemoptysis in five and lung abscess in three. The disease was bilateral in six patients and mainly confined to the lower lobe in 127. One hundred and twenty patients had a lobectomy, 13 had a pneumonectomy, 21 had a segmentectomy and a combination of these approaches in 18. Operative morbidity and mortality were seen in 18 (10.5%) and in three (1.7%) patients, respectively. Follow-up was complete in 148 patients with a mean of 4.2 years. Overall, 111 patients were asymptomatic after surgical treatment, symptoms were improved in 31, and unchanged or worse in six.
  
  
  CONCLUSIONS
  Surgical treatment of bronchiectasis is more effective in patient with localized disease. It is satisfactory with acceptable ratio of morbidity and mortality.
authors.affiliation: Department of Thoracic Surgery, Ankara University Medical School, Ankara, Turkey.
authors.forename: Hakan
authors.initials: H
authors.lastname: Kutlay
authors.forename: Ayten Kayi
authors.initials: AK
authors.lastname: Cangir
authors.forename: Serkan
authors.initials: S
authors.lastname: Enön
authors.forename: Ekber
authors.initials: E
authors.lastname: Sahin
authors.forename: Murat
authors.initials: M
authors.lastname: Akal
authors.forename: Adem
authors.initials: A
authors.lastname: Güngör
authors.forename: Nezih
authors.initials: N
authors.lastname: Ozdemir
authors.forename: Sevket
authors.initials: S
authors.lastname: Kavukçu
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001980:Bronchi / Q000601:surgery; D001987:Bronchiectasis / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D001995:Bronchography; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006193:Haemophilus influenzae; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology / Q000401:mortality / Q000601:surgery; D011550:Pseudomonas aeruginosa; D012086:Reoperation; D013296:Streptococcus pneumoniae; D016019:Survival Analysis; D019616:Thoracic Surgical Procedures / Q000401:mortality; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014421:Turkey / Q000453:epidemiology