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Treatment of Bronchiectasis in the Era of Minimally Invasive Surgery: 10-Year Experience in a Single Center

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Abstract

Bronchiectasis is a chronic pulmonary disease characterized by permanent enlargement of the bronchi and bronchioles. Anatomic resection of the affected lung part is still the most valid treatment option in localized disease. Despite the promising results of video-assisted thoracoscopic surgery (VATS) in patients with early-stage lung cancer, VATS is still controversial in bronchiectasis. In this study, we aim to present our surgical experience in patients with bronchiectasis by comparing the results of VATS and thoracotomy groups. We reviewed the medical records of patients who underwent anatomic lung resection via VATS and thoracotomy for the treatment of bronchiectasis between January 2009 and December 2019. Between January 2009 and December 2019, 50 patients with bronchiectasis were surgically treated in our department. Among them, 20 patients underwent attempted VATS lung resection, and 30 patients underwent thoracotomy. There was no difference in the intraoperative and postoperative complications, but postoperative pain scores were lower in the VATS group. Video-assisted thoracoscopic surgery is a safe and feasible technique in the surgical treatment of bronchiectasis.

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References

  1. Zhu M, Fu XN, Chen X (2011) Lobectomy by video-assisted thoracoscopic surgery (VATS) for early stage of non-small cell lung cancer. Front Med 5(1):53–60

    Article  Google Scholar 

  2. Pischik VG (2014) Technical difficulties and extending the indications for VATS lobectomy. J Thorac Dis 6(Suppl 6):S623–S630

    PubMed  PubMed Central  Google Scholar 

  3. Baysungur V, Dogruyol T, Ocakcioglu I, Misirlioglu A, Evman S, Kanbur S, Alpay L, Tezel C (2017) The feasibility of thoracoscopic resection in bronchiectasis. Surg Laparosc Endosc Percutan Tech 27(3):194–196

    Article  Google Scholar 

  4. Hao X, Dazhong L, Lei Y et al (2019) Surgical treatment of bronchiectasis: 5 years of experience at a single institution. J Laparoendosc Adv Surg Tech A 29(6):826–830

    Article  Google Scholar 

  5. Zhang P, Zhang F, Jiang S, Jiang G, Zhou X, Ding J, Gao W (2011) Video-assisted thoracic surgery for bronchiectasis. Ann Thorac Surg 91(1):239–243

    Article  Google Scholar 

  6. Barbetakis N, Asteriou C, Kleontas A, Konstantinou E (2011) Bronchiectasis: is there a role for video-assisted thoracic surgery? Ann Thorac Med. 6(3):156

    Article  Google Scholar 

  7. Stamenovic D, Bostanci K, Messerschmidt A, Jahn T, Schneider T (2016) Fissureless fissure-last video-assisted thoracoscopic lobectomy for all lung lobes: a better alternative to decrease the incidence of prolonged air leak? Eur J Cardiothorac Surg 50(1):118–123

    Article  Google Scholar 

  8. Seitz AE, Olivier KN, Adjemian J, Holland SM, Prevots DR (2012) Trends in bronchiectasis among Medicare beneficiaries in the United States, 2000 to 2007. Chest. 142(2):432–439

    Article  Google Scholar 

  9. Kolbe J, Wells AU (1996) Bronchiectasis: a neglected cause of respiratory morbidity and mortality. Respirology. 1(4):221–225

    Article  CAS  Google Scholar 

  10. AL-Shirawi N, Al-Jahdali H, Al Shimemeri A (2006) Pathogenesis, etiology and treatment of bronchiectasis [Review Article]. Ann Thorac Med 1(1):41–51

    Article  Google Scholar 

  11. Lonni S, Chalmers JD, Goeminne PC, McDonnell MJ, Dimakou K, de Soyza A, Polverino E, van de Kerkhove C, Rutherford R, Davison J, Rosales E, Pesci A, Restrepo MI, Torres A, Aliberti S (2015) Etiology of non-cystic fibrosis bronchiectasis in adults and its correlation to disease severity. Ann Am Thorac Soc 12(12):1764–1770

    Article  Google Scholar 

  12. ten Hacken NH, Wijkstra PJ, Kerstjens HA (2007) Treatment of bronchiectasis in adults. BMJ. 335(7629):1089–1093

    Article  Google Scholar 

  13. Corless JA, Warburton CJ (2000) Surgery vs non-surgical treatment for bronchiectasis. Cochrane Database Syst Rev 4:CD002180

    Google Scholar 

  14. Vendrell M, de Gracia J, Olveira C, Martinez-Garcia MA, Girón R, Máiz L, Cantón R, Coll R, Escribano A, Solé A (2008) Diagnosis and treatment of bronchiectasis. Spanish Society of Pneumology and Thoracic Surgery. Arch Bronconeumol 44(11):629–640

    Article  Google Scholar 

  15. Fan LC, Liang S, Lu HW, Fei K, Xu JF (2015) Efficiency and safety of surgical intervention to patients with non-cystic fibrosis bronchiectasis: a meta-analysis. Sci Rep 5:17382

    Article  CAS  Google Scholar 

  16. Vallilo CC, Terra RM, de Albuquerque AL et al (2014) Lung resection improves the quality of life of patients with symptomatic bronchiectasis. Ann Thorac Surg 98(3):1034–1041

    Article  Google Scholar 

  17. Yim AP, Ko KM, Chau WS et al (1996) Video-assisted thoracoscopic anatomic lung resections. The initial Hong Kong experience. Chest. 109(1):13–17

    Article  CAS  Google Scholar 

  18. McKenna RJ Jr, Houck W, Fuller CB (2006) Video-assisted thoracic surgery lobectomy: experience with 1,100 cases. Ann Thorac Surg 81(2):421–425 discussion 425-6

    Article  Google Scholar 

  19. Gonzalez-Rivas D (2012) VATS lobectomy: surgical evolution from conventional VATS to uniportal approach. ScientificWorldJournal. 2012:780842

    Article  Google Scholar 

  20. Prieto D, Bernardo J, Matos MJ, Eugénio L, Antunes M (2001) Surgery for bronchiectasis. Eur J Cardiothorac Surg 20(1):19–23 discussion 23-4

    Article  CAS  Google Scholar 

  21. Cobanoglu U, Yalcinkaya I, Er M, Isik AF, Sayir F, Mergan D (2011) Surgery for bronchiectasis: the effect of morphological types to prognosis. Ann Thorac Med 6(1):25–32

    Article  Google Scholar 

  22. De Dominicis F, Andrejak C, Monconduit J et al (2012) Surgery for bronchiectasis. Rev Pneumol Clin 68(2):91–100

    Article  Google Scholar 

  23. Weber A, Stammberger U, Inci I, Schmid RA, Dutly A, Weder W (2001) Thoracoscopic lobectomy for benign disease – a single centre study on 64 cases. Eur J Cardiothorac Surg 20(3):443–448

    Article  CAS  Google Scholar 

  24. Agasthian T (2012) Results of surgery for bronchiectasis and pulmonary abscesses. Thorac Surg Clin 22(3):333–344

    Article  Google Scholar 

  25. Singhal S, Shrager JB (2010) Should buttresses and sealants be used to manage pulmonary parenchymal air leaks? J Thorac Cardiovasc Surg 140(6):1220–1225

    Article  Google Scholar 

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Authors and Affiliations

  1. University of Health Sciences Turkey, Dr Suat Seren Chest Diseases and Chest Surgery Medical Practice and Research Center, Izmir, Turkey

    Kenan Can Ceylan, Güntuğ Batıhan, Şeyda Örs Kaya, Ozan Usluer & Soner Gürsoy

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  1. Kenan Can Ceylan
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  2. Güntuğ Batıhan
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  3. Şeyda Örs Kaya
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  4. Ozan Usluer
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  5. Soner Gürsoy
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Contributions

Writing (original draft preparation), Kenan Can Ceylan and Güntuğ Batıhan; writing (review and editing), Güntuğ Batıhan and Şeyda Örs Kaya; supervision and editing, Şeyda Örs Kaya, Ozan Usluer, and Soner Gürsoy

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Correspondence to Güntuğ Batıhan.

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Ceylan, K.C., Batıhan, G., Kaya, Ş.Ö. et al. Treatment of Bronchiectasis in the Era of Minimally Invasive Surgery: 10-Year Experience in a Single Center. Indian J Surg 83, 1511–1518 (2021). https://doi.org/10.1007/s12262-021-02765-7

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  • DOI: https://doi.org/10.1007/s12262-021-02765-7

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