Surgical treatment of XXXX : A review of 20 years of experience.

@entity1 @entity1997 @entity4595
BACKGROUND: Bronchiectasis is defined as an abnormal and irreversible dilation and distortion of the bronchi, which has numerous causes. Surgical treatment of this disease is usually reserved for focal disease and when the medical treatment is no longer effective. We report our center experience and outcomes in @entity4595 surgery during the last 20 years. METHODS: Between 1994 and 2014, sixty-nine @entity1 underwent surgical resection for @entity4595 . @entity1 demographics, presenting symptoms, indications for surgical treatment, type of lung resection, morbidity and mortality, as well as clinical follow-up and outcomes were analyzed. RESULTS: From the 69 @entity1 included, 31 (44.9%) were male and 38 (55.1%) were female. Surgery was indicated because of unsuccessful medical therapy in 33 @entity1 (47.8%), haemoptysis in 22 @entity1 (31.9%), nondiagnostic lung mass in 9 @entity1 (13.0%) and @entity1997 in 5 @entity1 (7.3%). The surgical procedures were lobectomy in 45 (65.2%) @entity1 , pneumonectomy in 10 (14.5%) @entity1 , bilobectomy in 8 (11.6%) @entity1 , lobectomy plus segmentectomy in 3 (4.3%) @entity1 and only segmentectomy in 3 (4.3%) @entity1 . Morbidity rate was 14.5% and there was no perioperative mortality. The follow-up was possible in 60 @entity1 , with an outcome reported as excellent in 44 (73.3%) @entity1 , as improved in 11 (18.3%) and as unchanged in 5 (8.3%). CONCLUSION: Although the number of @entity1 with @entity4595 referred for surgical treatment has decreased, pulmonary resection still plays a significant role. Surgical resection of localized @entity4595 is a safe procedure with proven improvement of quality of life for the majority of @entity1 .
