title: [The place of surgery in bilateral sequelae bronchiectasis].
abstract: BACKGROUND
  The aim of our study is to report our surgery results in bilateral sequelae bronchiectasis and to assess its impact on the life quality of our patients.
  
  
  METHODS
  This is a retrospective descriptive study in thoracic surgery department of Teaching Hospital Hassan II of Fez in Morocco. It involved all patients with bilateral bronchiectasis which is predominant on a few lobes or segments (localized) and who underwent surgery during the period 2010-2015. The epidemiological, clinical and paraclinical data, the surgery results, the evolution and the impact on life quality were assessed.
  
  
  RESULTS
  From a total of 47 patients with bilateral bronchiectasis, 13 were operated, thus a frequency of 27.6%. The average age was 32years, ranging from 15 to 54years. Women were in majority (61.5%) representing a sex ratio of 1.6. The association of chronic bronchorrhea and hemoptysis was the main reason of medical consultation in 46.16%, followed by isolated chronic bronchorrhea in 38.46%. Surgical resection involved the left side in 61.5% of cases. The left lower lobectomy was the most accomplished gesture. An improvement in symptoms was found in 11 patients (84.6%) as a decrease in bronchorrhea, hemoptysis episodes and decreasing use of antibiotics.
  
  
  CONCLUSIONS
  Bilateral bronchiectasis surgery can be performed with acceptable morbidity and mortality in well-selected patients with an improvement in symptoms.
authors.affiliation: Service de chirurgie thoracique, CHU Hassan II, BP 1893, Km 2.200, route de Sidi Harazem, 3000 Fès, Maroc. Electronic address: alzoumib84@gmail.com.
authors.forename: I
authors.initials: I
authors.lastname: Issoufou
authors.affiliation: Service de chirurgie thoracique, CHU Hassan II, BP 1893, Km 2.200, route de Sidi Harazem, 3000 Fès, Maroc.
authors.forename: S
authors.initials: S
authors.lastname: Rabiou
authors.affiliation: Service de chirurgie thoracique, CHU Hassan II, BP 1893, Km 2.200, route de Sidi Harazem, 3000 Fès, Maroc.
authors.forename: L
authors.initials: L
authors.lastname: Belliraj
authors.affiliation: Service de chirurgie thoracique, CHU Hassan II, BP 1893, Km 2.200, route de Sidi Harazem, 3000 Fès, Maroc.
authors.forename: F Z
authors.initials: FZ
authors.lastname: Ammor
authors.affiliation: Service de chirurgie thoracique, CHU Hassan II, BP 1893, Km 2.200, route de Sidi Harazem, 3000 Fès, Maroc.
authors.forename: H
authors.initials: H
authors.lastname: Harmouchi
authors.affiliation: Laboratoire d'épidémiologie, recherche clinique et santé communautaire, faculté de médecine et de pharmacie de Fès, 3000 Fès, Maroc.
authors.forename: A S
authors.initials: AS
authors.lastname: Diarra
authors.affiliation: Service de chirurgie thoracique, CHU Hassan II, BP 1893, Km 2.200, route de Sidi Harazem, 3000 Fès, Maroc.
authors.forename: M
authors.initials: M
authors.lastname: Lakranbi
authors.affiliation: Service de pneumologie, CHU Hassan II, BP 1893, Km 2.200, route de Sidi Harazem, 3000 Fès, Maroc.
authors.forename: M
authors.initials: M
authors.lastname: Serraj
authors.affiliation: Service de chirurgie thoracique, CHU Hassan II, BP 1893, Km 2.200, route de Sidi Harazem, 3000 Fès, Maroc.
authors.forename: Y
authors.initials: Y
authors.lastname: Ouadnouni
authors.affiliation: Service de chirurgie thoracique, CHU Hassan II, BP 1893, Km 2.200, route de Sidi Harazem, 3000 Fès, Maroc.
authors.forename: M
authors.initials: M
authors.lastname: Smahi
mesh_terms: D000293:Adolescent; D000328:Adult; D001987:Bronchiectasis / Q000453:epidemiology / Q000601:surgery*; D005260:Female; D006469:Hemoptysis / Q000453:epidemiology / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D009018:Morocco / Q000453:epidemiology; D011013:Pneumonectomy / Q000706:statistics & numerical data; D012141:Respiratory Tract Infections / Q000453:epidemiology / Q000601:surgery; D012189:Retrospective Studies; D019616:Thoracic Surgical Procedures / Q000379:methods; D016896:Treatment Outcome; D055815:Young Adult
keywords: Bronchectasies; Bronchiectasis; Chirurgie thoracique; Hemoptysis; Hémoptysie; Infection de voies respiratoire; Lobectomy; Respiratory tract infections; Thoracic surgery; Tuberculose; Tuberculosis