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Ann Thorac Surg 1979;28:48-53
© 1979 The Society of Thoracic Surgeons

Articles

Bilateral Pulmonary Resection for Bronchiectasis: A 40-Year Experience

Stuart A. George, M.D., Howard K. Leonardi, M.D., Richard H. Overholt, M.D.*

From the Overholt Thoracic Clinic, and Department of Thoracic and Cardiovascular Surgery, New England Deaconess Hospital, Boston, MA

* Address reprint requests to Dr. Overholt, Overholt Thoracic Clinic, 135 Francis St, Boston, MA 02215

Ninety-nine patients underwent bilateral pulmonary resection for severe multisegmental bilateral bronchiectasis at the Overholt Thoracic Clinic during the period 1937 to 1977. A total of 216 operations were performed, and 20 patients underwent three or more procedures. The operative mortality was 1.4% and the incidence of severe complications, 7%.

Follow-up ranged from 1 to 30 years (average 10.2 years). Only 1 patient was lost to follow-up. Improvement in pulmonary symptoms was achieved in 83 patients; there was no improvement in 9 patients; and 4 patients were worse following resection.

The results suggest that bilateral bronchiectasis need not be a contraindication to operation. In properly selected patients, lasting symptomatic improvement can be provided by resection.




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