The role of current surgical therapy for pediatric/adolescent and adult patients with bronchiectasis

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dc.contributor.authorUlutas, Hakki
dc.contributor.authorCelik, Muhammet Reha
dc.contributor.authorKuzucu, Akin
dc.date.accessioned2019-08-19T07:42:22Z
dc.date.available2019-08-19T07:42:22Z
dc.date.issued2017
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBackground: This study aims to compare clinical manifestations, surgical indications, surgical procedures, postoperative complications, and outcomes of surgical treatment in pediatric and adult patients with bronchiectasis. Methods: Between January 2000 and December 2013, a total of 99 patients (40 males, 59 females; mean age 33.3 years; range 10 to 67 years) who underwent surgery for bronchiectasis at the Department of Thoracic Surgery were retrospectively analyzed. Group 1 (n=28) were pediatric patients (<= 18 years) and group 2 (n=71) were adult patients (>18 years). Clinical symptoms, criteria surgical treatments applied, surgical treatment approaches, postoperative complications, the length of hospital stay, and treatment outcomes were evaluated. Results: In both groups, the most common symptom was productive cough, followed by recurrent infections. There were no significant differences in the frequency of these symptoms between the groups. In total, 104 surgeries were performed. Of 29 surgeries in group 1, 26 were thoracotomies and three were video-assisted thoracoscopic surgery. Of 75 surgeries in group 2, 60 were thoracotomies and 15 were video-assisted thoracoscopic surgery. Postoperative complications were seen in eight operations (27.6%) in group 1 and 18 operations (24%) in group 2. There was no intra- or postoperative mortality. All 28 patients in group 1 showed improvement after surgery, while 23 outcomes (82.1%) were rated excellent (complete remission) and five outcomes (17.9%) were rated improved (reduced symptoms). In group 2, 63 outcomes (88.7%) were excellent and seven outcomes (9.9%) were rated improved; however, one patient (1.4%) showed no improvement. Conclusion: In selected cases, surgical treatment for bronchiectasis is satisfactory and associated with acceptable mortality and morbidity rates, irrespective of the age of the patient. Based on our study results, surgery can cure this condition and can improve the quality of life, even when not curative.en_US
dc.identifier.citationUlutas, H . Celik, MR . Kuzucu, A .(2017). The role of current surgical therapy for pediatric/adolescent and adult patients with bronchiectasis.Cilt:25. Sayı:3. 412- 418 ss.en_US
dc.identifier.doi10.5606/tgkdc.dergisi.2017.12775en_US
dc.identifier.endpage418en_US
dc.identifier.issn1301-5680
dc.identifier.issn2149-8156
dc.identifier.issue3en_US
dc.identifier.scopus2-s2.0-85026846258en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage412en_US
dc.identifier.trdizinid286948en_US
dc.identifier.urihttps://doi.org/10.5606/tgkdc.dergisi.2017.12775
dc.identifier.urihttps://hdl.handle.net/11616/13475
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/286948
dc.identifier.volume25en_US
dc.identifier.wosWOS:000407052000013en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherBaycınar medıcal publ-baycınar tıbbı yayıncılık, ornek mh dr suphı ezgı sk saray apt no 11 d 6, atasehır, ıstanbul 34704, turkeyen_US
dc.relation.ispartofTurk gogus kalp damar cerrahısı dergısı-turkısh journal of thoracıc and cardıovascular surgeryen_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/restrictedAccessen_US
dc.subjectCystıc fıbrosıs bronchıectasısen_US
dc.subjectthoracoscopıc lobectomyen_US
dc.subjectchıldrenen_US
dc.subjectmanagementen_US
dc.subjectpneumonectomyen_US
dc.subjectchıldhooden_US
dc.subjectsurgeryen_US
dc.subjectdıseaseen_US
dc.subjectdılatatıonen_US
dc.subjectoutcomesen_US
dc.titleThe role of current surgical therapy for pediatric/adolescent and adult patients with bronchiectasisen_US
dc.typeArticleen_US

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