Risk factors affecting outcome and morbidity in the surgical management of bronchiectasis

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dc.contributor.authorEren, Sevval
dc.contributor.authorEsme, Hidir
dc.contributor.authorAvci, Alper
dc.date.accessioned2024-04-24T16:15:23Z
dc.date.available2024-04-24T16:15:23Z
dc.date.issued2007
dc.departmentDicle Üniversitesien_US
dc.description.abstractObjective: Bronchiectasis continues to be a major cause of morbidity and mortality in developing countries. The purpose of this study was to present the results of our 14 years of surgical experience to re-evaluate our indications for using surgical therapy and to analyze several factors that might affect the outcome and postoperative complications of this disease. Method: Age, sex, etiologic factors, symptoms, the duration of symptoms, radiologic and radionuclide examinations, preoperative evaluation, surgical procedures, postoperative morbidity and mortality, and the follow-up results from 143 patients operated on for bronchiectasis between January 1992 and January 2006, were reviewed retrospectively. Results: One hundred forty-three patients underwent 148 operations for bronchiectasis. The mean age was 23.4 years. Complete resection was achieved in 118 patients. The morbidity rate was 23.0% and the mortality rate was 1.3%. Postoperatively, 75.9% of the patients were free of symptoms, 15.7% were improved, and 8.2% showed no improvement or were worse. The logistic regression analysis showed that a history of tuberculosis and incomplete resection were independent predictors of the operative result. Moreover, the lack of a preoperative bronchoscopic examination, a forced expiratory volume in 1 second of less than 60% of the predicted value, a history of tuberculosis, and incomplete resection were independent predictors of postoperative complications. Conclusions: A history of tuberculosis and incomplete resection were risk factors both for postoperative complications and for a worse operative result. The lack of a preoperative bronchoscopic examination and a low forced expiratory volume in 1 second were risk factors for postoperative complications. Surgery for multiple segments on different lobes should be performed whenever possible.en_US
dc.identifier.doi10.1016/j.jtcvs.2007.04.024
dc.identifier.endpage398en_US
dc.identifier.issn0022-5223
dc.identifier.issue2en_US
dc.identifier.pmid17662778
dc.identifier.scopus2-s2.0-34447637410
dc.identifier.scopusqualityQ1
dc.identifier.startpage392en_US
dc.identifier.urihttps://doi.org/10.1016/j.jtcvs.2007.04.024
dc.identifier.urihttps://hdl.handle.net/11468/15781
dc.identifier.volume134en_US
dc.identifier.wosWOS:000248394700019
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherMosby-Elsevieren_US
dc.relation.ispartofJournal of Thoracic and Cardiovascular Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subject[No Keyword]en_US
dc.titleRisk factors affecting outcome and morbidity in the surgical management of bronchiectasisen_US
dc.titleRisk factors affecting outcome and morbidity in the surgical management of bronchiectasis
dc.typeArticleen_US

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