Surgery remains necessary in some patients with localized bronchiectasis as well as in patients with serious hemoptysis after failure of other medical therapies. Precise patient selection for surgery is necessary to prevent postoperative recurrence. High resolution computed tomography is the method of choice to delineate the lung part(s) to be resected. Most cases require lobectomy and/or segmentectomy, and pneumonectomy is performed only for a destroyed lung. Because of the long-lasting inflammatory process, it may be difficult to mobilize the lung and dissect the vascular structure during surgical resection. Manual blunt dissection is recommended because no clear-cut border is available between the fibrotic lung and adjacent structures like the aorta, pericardium, diaphragm, lung, and chest wall. Result of surgery is rewarding in appropriately selected patients.
KeywordsCystic Fibrosis Fibrin Sealant High Resolution Compute Tomography Primary Ciliary Dyskinesia Bronchial Secretion
- Miller JI (2009) Bacterial infections of the lungs and bronchial compressive disorders. In: Shields TW, LoCicero J, Reed CE, Feins RH (eds) General thoracic surgery, 7th edn. Lippincott Williams & Wilkins, Philadelphia, pp 1117–1119Google Scholar