The Influence of Specific Factors on Postoperative Morbidity in Young Adults with Bronchiectasis

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• 作者：Rauf Gorur MD^a ; ^{raufgorur@gmail.com"" rel=""nofollow} ; ^{araufg@yahoo.com"" rel=""nofollow} ; Hasan Turut MD^a ; Nurettin Yiyit MD^a ; Fatih Candas MD^a ; Akin Yildizhan MD^a ; Huseyin Sen MD^b ; Ali Kutlu MD^c ; Selim Kilic MD^d ; Turgut Isı ; tmangil MD^a
• 关键词：Bronchiectasis ; Fiberoptic bronchoscopy ; Multi-segmental resection
• 刊名：Heart, Lung and Circulation
• 出版年：2011
• 出版时间：July 2011
• 年：2011
• 卷：20
• 期：7
• 页码：468-472
• 全文大小：91 K

文摘

Background

Surgical treatment of bronchiectasis is associated with acceptable mortality and morbidity rates. To date, few reports on the prediction of postoperative morbidity using some preoperative measures have been presented. We present our results regarding the influence of some specific factors on postoperative morbidity on young adult patients who were treated surgically for bronchiectasis.

Methods

Between January 2000 and July 2007, 122 patients were operated upon. Female gender, increased number of resected segments, presence of haemoptysis and bilateral disease, compromised pulmonary function test (FEV1/VC < 60 % ) and absence of preoperative fiberoptic bronchoscopy (FOB) were examined as the potential risk factors for postoperative complications such as persistent air leak (PAL), atelectasis, residual air space (RAS), bronchopleural fistula (BPF) and empyaema.

Results

There was no operative mortality. Morbidity was observed in a total of 16 patients with an overall morbidity rate of 13.1 % . Complete resection was achieved in 88 patients (72.1 % ). The number of resected segments was not found to be significantly associated with increased morbidity. Presence of preoperative haemoptysis did not correlate with postoperative complications significantly. Absence of preoperative FOB was not found to be associated with post-operative complications (p < 0.05). Compromised PFT was significantly associated with RAS (p = 0.028), however it was not associated with increased risk of PAL, atelectasis or empyaema significantly.

Conclusion

Multi-segmental resectable bronchiectasis should not be considered an occult risk factor for morbidity after resection. Associated non-severe haemoptysis and absence of preoperative bronchoscopy are not associated with significant increased risk of postoperative morbidity.