Abstract:
Postoperative quality of life is a crucial factor in decisions regarding surgical management of
bronchiectasis. The goal of surgical treatment in such cases is to eradicate diseased portions of lung
while preserving as much healthy lung parenchyma as possible. The volume of remaining lung must be
sufficient to fill the pleural space. In patients with bronchiectasis, it is extremely unusual to have upperand
lower-lobe involvement without middle lobe involvement. A normal-sized middle lobe alone is
usually not adequate to fill the right hemithorax. When the disease involves both the upper and lower
lung lobes, surgeons must assess whether pneumonectomy is required. Herein, we describe the case of a
patient with bronchiectasis who was successfully treated with upper and lower lobectomy and
preservation of the middle lobe.
