5. Surgery of congenital broncheectases in children and adults

Authors

  • B.K. Shirtaev Center for Surgery”JSC, Almaty, Kazakhstan, г. Алматы, Казахстан
  • M.M. Sundetov Center for Surgery”JSC, Almaty, Kazakhstan, г. Алматы, Казахстан
  • N.Zh. Yerimova Center for Surgery”JSC, Almaty, Kazakhstan, г. Алматы, Казахстан
  • D.O. Bogdanova Center for Surgery”JSC, Almaty, Kazakhstan, г. Алматы, Казахстан
  • S.E. Mukashev Center for Surgery”JSC, Almaty, Kazakhstan, г. Алматы, Казахстан

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Abstract

The overwhelming majority of thoracic and pediatric surgeons are of the opinion that it is necessary to perform early surgeries for congenital bronchiectasis, since bronchial dilatation leads to infection of bronchial contents and repeated exacerbations of the inflammatory process, but some pediatricians express a reserved attitude to operations in childhood, adhering to long-term follow-up tactics. Purpose. To present statistical data on the situation of patients with congenital bronchiectasis of different age categories and to offer separate recommendations for the treatment and diagnosis of patients with congenital bronchiectasis.

Material and methods. 433 patients with congenital bronchiectasis were operated in our clinic, which was 50.9% of all congenital lung malformations. The patients’ age ranged from 2 to 65 years. There were more children and adolescents (60.9%) than adults (39.1%).

Results. The article presents the results of diagnostics and surgical treatment of 433 patients with congenital bronchiectasis. It was found that the immediate and long-term results of surgical treatment of children are better than those of adult patients.

Keywords

congenital bronchiectasis, bronchi, period of remission

References

  1. Milliron B, Henry TS, Veeraraghavan S, Little BP. Bronchiectasis: Mechanisms and Imaging Clues of Associated Common and Uncommon Diseases. Radiographics. 2015 Jul-Aug;35(4):1011-30. doi:10.1148/rg.2015140214
  2. Khen-Dunlop N, Sarnacki S, Révillon Y. When Congenital Lung Malformations Have To Be Operated? Rev Pneumol Clin. 2012 Apr;68(2):101-9. Doi:10.1016/J.Pneumo.2012.01.009.Epub2012Feb25
  3. Ten Hacken NH, Kerstjens HA. Bronchiectasis. Clin Evid (Online). 2011 Aug 16;2011. Pii: 1507
  4. Rademacher J, Pletz MW, Welte T. Treatment Of Not-With Cystic Fibrosis Associated Forms Bronchiectasis (Non-CF Bronchiectasis). Internist (Berl). 2010 Dec;51(12):1510-5. Doi:10.1007/S00108-010-2716-0
  5. O’Donnell AE. Bronchiectasis. Chest. 2008 Oct;134(4):815-23. Doi:10.1378/Chest.08-0776
  6. Chuchalin A.G. Вronchiectasis: clinical manifestations and diagnostic programs. Pulmonology, 2005, №1, С5-10
  7. Isakov Ju., Stepanov Je., Volynskij Ju. Extirpation and resection of the bronchus as a method of surgical treatment of bronchiectasis. Thoracic surgery, 1988, N1, 63-66
  8. Yutaka Yojiro, Omasa Mitsugu, Shikuma Kei, Taki Toshihiko. Bronchopulmonary foregut malformation in an adult. // Gen. Thorac. and Cardiov. Surg. – 2007. – 55, № 11. – Р. 476–478
  9. Shankar G., Kothari P., Sarda D., Kulkarni B., Kalgutkar A. Pneumonectomy in a child with congenital bronchiectasis: A case report and review of literature. //Annals. of Thoracic Medicine. – 2006; 1: 2: 81–83
  10. Ishikawa H., Koizumi N., Morita T et al. Ultrasmall pulmonary opacities on multidetector-row high-resolution computed tomography. Niigata University Hospital, Niigata, Japan. J. Comput. Assist. Tomogr. 2005; 29: Р.621–625
  11. Gan Xin-lian, Chen Wei-wei, Zhang Zi-li, Song Shao-hui. Multidetector CT angiography in pulmonary sequestration. //Yixue yingxiangxue zazhi – J. Med. Imag. – 2008.– 18, № 7.– Р. 730 – 732. Good results (practical recovery) were observed in 63.8% of children, which is significantly higher than the results of surgical treatment of adult patients (Р<0,05). All unsatisfactory results observed in patients with bilateral lesions and residual bronchiectasis in the operated lung.

Published

2022-10-10

Issue

No. 3 (2022)

Section

Статьи