Surgical treatment of bronchiectasis

86 surgically treated patients with bronchectasis (49 female and 37 male) have been investigated and long-term results assessed by subsequent medical evaluation. 51 cases were children and 14 adolescent, while 21 patients were adults. In 39 patients bronchiectasis were sequels of acute bronchopathy in childhood, 25 with peristent or recurrent bronchopneumonia, 8 cases of inhalated foreign bodies, 11 underwent surgical resection, with severe bleeding, 2 cases with surgical resection of localized bronchiectasis where considered in hgpoglobulinanemic patients with persistent localized suppuration and symptoms refractory to medical treatment and 1 patient having had left lower lobectomy for bronchiectasis and athelectasis due to a double aortic arch. The mapping of anatomic extension of the loesions was processed by bronchography and CT. Selection for surgery, included patients having had cough productive purulent sputum, refractory to medical therapy recurrent episodes of pneumonitis and recurrent major haemoptysis. 57 lobectomies (8 bilobectomy - LLL+ML and 13 - LLL with lingulectomy, 23 segmentectomies (6 - basal, 4 - lingulectomies and 2 - underwent repeated surgical resection) and 6 pneumenectomies were performed. Morbidity was in 9 cases (4 athelectasis, 3 incomplete reexpansion and 2 small bronchial leak). Hospital death was in 1 patient. Postoperatively, the evaluated long-term results showed 72% of the patients were asymptomatic, 26% improved and 2% unchanged. It can be concluded, that localized recurrent bronchiectasis refractory to medical treatment, before development of complications, the surgical resection is limited to lobectomy or segmentectomy and gives the most satisfactory results. At the stage of surgery, the compenzatory emphysema is prevented and the ability of lung expand, will be remained.