Materials and Methods: The records of the patients who were operated for bronchiectasis between January 2000 and January 2022 were analyzed retrospectively. Patients were grouped according to the time of surgery (Group I: Jan 2000- Jan 2012 vs. Group II: Jan 2021- Jan 2022) and surgical approach (thoracoscopy vs. thoracotomy). Demographic and clinical characteristics of the patients, localization of bronchiectasis, surgical interventions and postoperative follow-up results were recorded and analyzed using SPSS 25.

Results: A total of 220 operations were performed. Eighty-six patients (39.1%) were male, mean age was 34.89 ±12.68 years. Bronchiectasis was mostly located in the lower lobes (55.9%). The most frequently performed resection was left lower lobectomy (44.5%). The mean tube extraction time was 4.78 ± 4.13 days, and the mean length of hospital stay was 5.88 ± 3.18 days. Patients who underwent thoracoscopy had significantly shorter hospital stays and lower complication rates compared to those who underwent thoracotomy (p = 0.001 and p = 0.004, respectively). Patients operated on in the last 10 years (Group II) had significantly fewer complications compared to those operated in the earlier 12-year period (Group I) (p = 0.028). Multiple logistic regression analysis revealed that VATS reduced the complication rates by 82.5%. No surgical mortality was observed, and the overall morbidity rate was 26.8%.

Conclusions: Bronchiectasis surgery is very beneficial in patients who do not respond to medical treatment. Due to the effects of developing technology and experience gained, successful results have been achieved with minimally invasive approaches in recent years. Keywords : videothoracoscopy, non-cystic fibrosis bronchiectasis, thoracotomy, logistic regression