Skip to main content
PMC home page
Annals of Surgery logoLink to Annals of Surgery
. 1982 Mar;195(3):354–363. doi: 10.1097/00000658-198203000-00017

The surgical management of childhood bronchiectasis. A review of 96 consecutive pulmonary resections in children with nontuberculous bronchiectasis.

J F Wilson, A M Decker
PMCID: PMC1352643  PMID: 7059246

Abstract

In 195 children with nontuberculous bronchiectasis, periodic bronchography and clinical examinations were conducted over a period of 16 years (average 9.4 years). This was provided a critical assessment of surgical accomplishments in 96 consecutive resections and a parallel observation of 111 cases not submitted to resection. The final clinical assessment of the surgical cases shows 75% to be well or much improved, 22% to be improved, and 4% unchanged, while patients not submitted to resection have remained largely unchanged (69%) or have become worse (23%). The isolated superior segment can be preserved in children with good results, provided there is clear bronchographic evidence that the segment is entirely free of disease. When partially diseased segments are retained and required to fill a large volume, there is a tendency for even slightly altered bronchi to deteriorate postoperatively. Serial bronchography has proved helpful in determining when the disease has reached a mature, stable state and in planning the extent of resection.

Full text

PDF
354

Images in this article

355Fig. 1A.
on p.355
356Fig. 1B.
on p.356
356Fig. 2.
on p.356
357Fig. 3A.
on p.357
357Fig. 3B.
on p.357
357Fig. 3C.
on p.357

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Borrie J., Lichter I. Surgical treatment of bronchiectasis: ten-year survey. Br Med J. 1965 Oct 16;2(5467):908–912. doi: 10.1136/bmj.2.5467.908. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. CLARK N. S. Bronchiectasis in childhood. Br Med J. 1963 Jan 12;1(5323):80–88. doi: 10.1136/bmj.1.5323.80. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. CLARK N. S. MECHANISM AND MANAGEMENT OF CHILDHOOD BRONCHIECTASIS. Biochem Clin. 1964;4:113–118. [PubMed] [Google Scholar]
  4. Charan A., Sinha K. Clinical pattern and role of surgery in bronchiectasis. J Indian Med Assoc. 1973 Jun 1;60(11):412–417. [PubMed] [Google Scholar]
  5. DAVIS M. B., Jr, HOPKINS W. A., WANSKER W. C. The present status of the treatment of bronchiectasis. Am Rev Respir Dis. 1962 Jun;85:816–820. doi: 10.1164/arrd.1962.85.6.816. [DOI] [PubMed] [Google Scholar]
  6. Field C. E. Bronchiectasis. Third report on a follow-up study of medical and surgical cases from childhood. Arch Dis Child. 1969 Oct;44(237):551–561. doi: 10.1136/adc.44.237.551. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Fine A., Baum G. L. Long-term follow-up of bronchiectasis. J Lancet. 1966 Oct;86(10):505–507. [PubMed] [Google Scholar]
  8. Fleshman J. K., Wilson J. F., Cohen J. J. Bronchiectasis in Alaska Native children. Arch Environ Health. 1968 Oct;17(4):517–523. doi: 10.1080/00039896.1968.10665274. [DOI] [PubMed] [Google Scholar]
  9. Grillo I. A. Bronchiectasis in Nigerians. Afr J Med Sci. 1972 Jul;3(3):213–222. [PubMed] [Google Scholar]
  10. HINDS J. R. Bronchiectasis in the Maori. N Z Med J. 1958 Aug;57(320):328–332. [PubMed] [Google Scholar]
  11. LIEBOW A. A., HALES M. R., HARRISON W., BLOOMER W., LINDSKOG G. E. The genesis and functional implications of collateral circulation of the lungs. Yale J Biol Med. 1950 Jul;22(6):637–650. [PMC free article] [PubMed] [Google Scholar]
  12. Maxwell G. M. Chronic chest disease in Australian aboriginal children. Arch Dis Child. 1972 Dec;47(256):897–901. doi: 10.1136/adc.47.256.897. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Niculescu N., Gavriliţ N., Ionescu G. Our experience in the surgical treatment of bronchiectasis in children. Rom Med Rev. 1969;13(4):41–47. [PubMed] [Google Scholar]
  14. Sanderson J. M., Kennedy M. C., Johnson M. F., Manley D. C. Bronchiectasis: results of surgical and conservative management. A review of 393 cases. Thorax. 1974 Jul;29(4):407–416. doi: 10.1136/thx.29.4.407. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Shaw K. M., Logan P. J. Surgery in the treatment of bronchiectasis. J Ir Med Assoc. 1966 Apr;58(346):110–114. [PubMed] [Google Scholar]
  16. Wilson J. F., Peters G. N., Fleshman K. A technique for bronchography in children. An experience with 575 patients using topical anesthesia. Am Rev Respir Dis. 1972 Apr;105(4):564–571. doi: 10.1164/arrd.1972.105.4.564. [DOI] [PubMed] [Google Scholar]

Articles from Annals of Surgery are provided here courtesy of Lippincott, Williams, and Wilkins

RESOURCES