[Results of the surgical treatment of bronchiectasis in children].

A previous study¹summarized the over-all results in a series of 221 patients of all ages who underwent surgical resection for bronchiectasis. The present study represents an evaluation of the 30 children, ranging in age from 5 to 14 years, included in that series. Fourteen of the patients were boys, and 16 were girls. Pulmonary resection was carried out in all instances, with the patient under general endotracheal anesthesia; a posterolateral incision was used, with individual ligation of hilar structures. All patients were operated on prior to December, 1952, and all were followed by direct observation of the child and by follow-up letter. Preoperative bronchoscopy was done in all cases, as were bronchograms. Pathological examination confirmed the clinical impression in all cases.

CLINICAL RESULTS

The clinical results in this series of 30 cases were good in 18 (60% ), fair in 7 (23.3%), and poor in 4 (13.3%). No operative

Surgical resection

10.1001/jama.1955.02960120007003

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Citations (7)

Adult Cystic Fibrosis: A Possible Cause of Bronchiectasis in COPD Patients

Archivos de Bronconeumología (2019)

Cristina Benito Bernáldez Virginia Almadana Pacheco Agustín Salvador Valido Morales Pedro Juan Rodríguez Martín

10.1016/j.arbr.2018.12.014

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Bronchiectasis in childhood; prophylaxis, treatment and progress with a follow-up study of 202 cases of established bronchiectasis.

PubMed (1949)

Field Ce

Prevention of bronchiectasis means prevention or better treatment of the predisposing conditions, particularly pneumonia, pertussis, pulmonary collapse and so-called chronic bronchitis. When the cough persists after one of these conditions adequate convalescent care coupled with postural drainage and breathing exercises is advocated. Once bronchial dilatation is considered irreversible, the treatment offered can be surgical or curative, medical or palliative, or partial surgical removal to alleviate the symptoms. In general radical surgical treatment is recommended in all cases where an adequate amount of healthy lung can be preserved. Medical treatment can be carried out at home, at an open air school or at a convalescent home. It includes postural drainage, breathing exercises and general health measures. Chemotherapy for established bronchiectasis has so far been disappointing. Aerosol penicillin in a number of cases produced no lasting effect but more promising results have been reported with combined penicillin and streptomycin. Two hundred and two cases of proved bronchiectasis have been followed for varying periods up to 10 years. Although fewer cases were treated surgically, twice as many were classified as cured compared with the medically treated cases. However, 13 of the latter lost all signs and symptoms. Out of 19 deaths, 9 had been treated surgically. Ten cases classified as cured had bilateral lobectomy. Serial bronchograms taken over the years revealed the frequent deterioration or increase of dilatation in the antero-lateral (pectoral) branches of the upper lobes in contrast to the improvement or cure of the apical branches. Varicose and fusiform types of bronchiectasis produce the least physical disturbance. Although the clinical progress of established cases of bronchiectasis showed improvement in the majority of cases in the first two decades, it is feared that deterioration may occur in the third and fourth decades. The fact that after lobectomy the remaining lung increases its functional capacity in growing children makes it desirable to operate during childhood.

Postural drainage

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Citations (38)

[Surgical treatment of bronchiectasis and of pulmonary cirrhosis in children].

PubMed (1954)

J Moll

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Long-Term Treatment With Azithromycin in a Patient With Idiopathic Bronchiectasis

Archivos de Bronconeumología (2005)