Bronşektazide cerrahi tedavi ve klinik deneyimlerimizin değerlendirilmesi

Between January 2003 and March 2011, 45 patients underwent surgical resection for bronchiectasis in Gazi Univercity Medical Faculty Hospital Thoracic Surgery Clinic. 50 surgical resection was performed to these patients. There was 23 female and 22 male patients. Age range was 6-63 and mean age was 30,3.Pulmonary resection indication was failure of medical treatment in 41 patients and recurren hemoptysis in 4. In our patients, cough(%91,1), purulent sputum(%71,1), halitosis(%66,6) and hemoptysis(%46,6) were most seen symptoms. The disease was bilateral in 3(%6) patients. 39(%78) patient had lobectomy, 5(%10) had segmentectomy, 5(%10) had wedge resection and a combination of these approaches in 3(%6). While we had %44 postoperative early complication. There was no morbidity and late period complication.Follow-up of was complete in 45 patients with a mean of 22 months. Overall, 34(%68) patients were asymptomatic after surgical treatment, symptoms was improved in 8(%16) and unchanged in 5(%10) patients. 3 patiets could not followed.In bronchiectasis treatment, first choice is medical therapy. Surgical treatment is a good option when the failure of medical therapy especially with localised disease. Surgical resection for bronchiectasis can be performed with acceptable morbidity and mortality at any age. At bilateral diffuse disease, lung transplation is current and hopeful treatment choice.