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Surgical treatment of non-cystic fibrosis bronchiectasis in Brazilian children

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Abstract

Purpose

To determine the clinical characteristics of patients submitted to surgical treatment for non-cystic fibrosis (CF) bronchiectasis, the indications for surgery, and the results obtained at a referral facility for pediatric thoracic surgery.

Methods

Between January 1998 and December 2009, we retrospectively reviewed the medical charts of 109 pediatric patients with non-CF bronchiectasis who underwent surgical treatment. These findings were subsequently analyzed by focusing on postoperative complications and long-term results.

Results

Of the 109 patients undergoing pulmonary resection, the mean age was 7.6 years (ranging from 1 to 15.5 y–o) with male predominance (59 %). The most common procedure was segmentectomy (43 %) followed by left lower lobectomy (38 %). Minor postoperative complications occurred in 36 % of the patients; the most common was transient atelectasis (26 %), followed by air leak (6 %), and postoperative pain (4 %). There was one death within the 30-day postoperative period, but it was unrelated to the procedure. Eighty-three children were followed after discharge, with a mean follow-up period of 667 days. Sixty-five (76 %) patients showed improvement of clinical symptoms after surgery.

Conclusions

Lung resection for the treatment of non-CF bronchiectasis in children is a safe procedure, with no life-treating morbidity and low mortality. This procedure also leads to significant improvements in symptoms and quality of life.

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Authors and Affiliations

  1. Postgraduate Program in Pulmonary Sciences, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil

    Cristiano Feijó Andrade & Iury Andrade Melo

  2. Department of Pediatric Thoracic Surgery, Santo Antônio Children’s Hospital, Avenida Independencia 155, 90020-090, Porto Alegre, RS, Brazil

    Cristiano Feijó Andrade & José Carlos Felicetii

  3. Department of Thoracic Surgery, Hospital de Clínicas de Porto Alegre, HCPA, Porto Alegre, Brazil

    Cristiano Feijó Andrade & Éverton Franco Silva

  4. Health Sciences Federal University of Porto Alegre, Porto Alegre, Brazil

    Arthur Rodrigo Ronconi Holand, Gilberto Bueno Fischer & José Carlos Felicetii

  5. Department of Pediatric Pulmonology, Santo Antônio Children’s Hospital, Porto Alegre, Brazil

    Gilberto Bueno Fischer

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  1. Cristiano Feijó Andrade
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  2. Iury Andrade Melo
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Correspondence to Cristiano Feijó Andrade.

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Andrade, C.F., Melo, I.A., Holand, A.R.R. et al. Surgical treatment of non-cystic fibrosis bronchiectasis in Brazilian children. Pediatr Surg Int 30, 63–69 (2014). https://doi.org/10.1007/s00383-013-3420-7

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