Current Thoracic Surgery 2022 , Vol 7 , Issue 3
Short- and long- term results of surgery in non-cystic fibrosis bronchiectasis: analysis of 7 years of follow-up
Oya Baydar Toprak1,Alper Avci2,Efraim Guzel1,Burak Mete3
1Department of Chest Diseases, Cukurova University Faculty of Medicine, Adana, Turkey
2Department of Thoracic Surgery, Cukurova University Faculty of Medicine, Adana, Turkey
3Department of Public Health, Cukurova University Faculty of Medicine, Adana, Turkey
DOI : 10.26663/cts.2022.024 Viewed : 1932 - Downloaded : 608 Background: There are limited data in the literature regarding the early and long-term results of surgery in non-cystic fibrosis bronchiectasis. The aim of this study is to contribute to literature with clear analysis of early postoperative complications and to determine the rate of postoperative complications in non-cystic fibrosis bronchiectasis.

Materials and Methods: One hundred two patients with non-cystic fibrosis bronchiectasis who underwent surgical resection participated in the study between April 2012 and November 2019 at Çukurova University. Patients were contacted by phone and scheduled for a face-to-face interview. For five patients who died during the postoperative period, mandatory information was collected through family members or from retrospective assessment of their medical records.

Results: Of the 102 patients, 47 (46.1%) were male and 55 (53.9%) were female, with an average age of 38.8 ± 14.0 years. The indication for surgery was hemoptysis in 16 (15.7%), recurrent pulmonary infections in 74 (72.5%), and suspicion of malignant transformation in 12 (11.8%) patients. The mean follow-up period was 71.4 ± 28 months. The early postoperative complication rate was 21.5% with no intraoperative fatality and a 4.9% mortality rate with long-term follow-up. The most common postoperative complications were surgical site infection and hemorrhage. The type of bronchiectasis (varicose bronchiectasis), lower forced vital capacity (FVC) and the diffusing capacity of the lung for carbon monoxide (DLCO) in the perioperative period were identified as risk factors for the development of postoperative complications. Long-term mortality was also higher in individuals who had early postoperative complications.

Conclusion: With low mortality and morbidity rates, surgical interventions in non-cystic fibrosis bronchiectasis remains a feasible choice in selected cases. Keywords : non-cystic fibrosis bronchiectasis, bronchiectasis, surgery, postoperative complications, risk factors