title: Surgical outcome of bronchiectasis in children: long term results of 60 cases.
abstract: BACKGROUND
  Bronchiectasis is described as destruction and the irreversible dilatation of bronchial structure. We wanted to demonstrate our surgical practice and outcome of surgical treatment in bronchiectasis.
  
  
  METHODS
  We studied records of 60 pediatric patients who underwent surgical resection in our clinic between January 2000 and January 2013. The results were analyzed regarding factors influencing the outcome.
  
  
  RESULTS
  There were 32 boys and 28 girls with a mean age of 9.45 years (range 2-15). The most common cause was childhood infection in 25 (41.66%). The mean duration of the symptoms was 42.93 months. Patients underwent 64 operations including 2 staged thoracotomies and 2 re-thoracotomies. Atelectasis was the most frequent complication. Longer duration of symptoms related to postoperative complication. The morbidity and mortality rates were 20% and 3.33%, respectively. The outcome was optimal in 92%. Forced expiratory volume in 1 s less than 60% of the predicted value, hemoptysis and duration of symptoms were found prognostic variables for postoperative morbidity with high ratios of odds coefficients by using Binary Logistic Regression Method.
  
  
  CONCLUSIONS
  Complete and early resection of bronchiectasis provides a successful outcome. Duration of symptoms and timely intervention have a major impact on the management and prognosis.
authors.affiliation: Thoracic Surgery, Dicle University Hospital, Diyarbakir, Turkey.
authors.forename: A
authors.initials: A
authors.lastname: Sahin
authors.affiliation: Thoracic Surgery, Dicle University Hospital, Diyarbakir, Turkey.
authors.forename: F
authors.initials: F
authors.lastname: Meteroglu
authors.affiliation: Pediatrics, Dicle University Hospital, Diyarbakir, Turkey.
authors.forename: S
authors.initials: S
authors.lastname: Kelekci
authors.affiliation: Pediatrics, Dicle University Hospital, Diyarbakir, Turkey.
authors.forename: M
authors.initials: M
authors.lastname: Karabel
authors.affiliation: Microbiology, Children's Hospital, Diyarbakir, Turkey.
authors.forename: C
authors.initials: C
authors.lastname: Eren
authors.affiliation: Thoracic Surgery, Dicle University Hospital, Diyarbakir, Turkey.
authors.forename: S
authors.initials: S
authors.lastname: Eren
authors.affiliation: Biostatistics, Dicle University, Medical School, Diyarbakir, Turkey.
authors.forename: Y
authors.initials: Y
authors.lastname: Celik
mesh_terms: D000293:Adolescent; D001987:Bronchiectasis / Q000175:diagnosis / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D005541:Forced Expiratory Volume; D006801:Humans; D008297:Male; D061330:Multidetector Computed Tomography; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D011379:Prognosis; D012086:Reoperation; D013908:Thoracotomy; D016896:Treatment Outcome