Surgical management of bronchiectasis risk. Factors affecting outcome

Bronchietasis continues to be a major cause of morbidity and mortality. The purpose of this study was to present the results of 29 years of surgical experience. 153 patients with diagnosis of bronchiectasis underwent surgical therapy between October 15, 1979 and January 2008. Age, sex, etiologic factors, symptoms, duration of symptoms, radiologic examination, preoperative evaluation, surgical procedures postoperative morbidity and mortality, and the follow-up results were reviewed retrospectively. The mean age was 24.5 years. Complete resection was achieved in 128. The morbidity rate was 11,5% and the mortality rate was 0,65%. Postoperatively, 79,9 % of the patients were free of symptoms 15,7% improved, and 4,4% showed no improvement or worsened. The logistic regression analysis showed that a history of tuberculosis and incomplete resection were independent predictors of operative result. Moreover, the lack of the preoperative bronchoscopic examination, forced expiratory volume in 1 second with less than 60% of the predicted value, a history of tuberculosis, and incomplete resection were independent predictors of postoperative complications. Surgery for multiple segments on different lobes should be performed whenever possible.