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Early and late outcomes of video thoracoscopic versus open approach for bronchiectasis lung resections

Authors :
ANTERO GOMES NETO
LUCAS CASTRO DE OLIVEIRA
FLÁVIO MENDES ALVES
LEONARDO FREIRE ALVES NOGUEIRA
VANESSA FERNANDES OLIVEIRA
ISRAEL LOPES MEDEIROS
ALESSANDRO WASUM MARIANI
Source :
Revista do Colégio Brasileiro de Cirurgiões, Vol 51 (2024)
Publication Year :
2024
Publisher :
Colégio Brasileiro de Cirurgiões, 2024.

Abstract

ABSTRACT Objectives: To evaluate the early and late results of surgical treatment of patients with bronchiectasis, comparing the Video-Assisted Thoracic Surgery (VATS) vs. the open thoracotomy (OT). Methods: Observational retrospective study of patients who underwent surgery for bronchiectasis. Patients were divided into two groups according to surgical access OT/VATS. Variables collected included gender, age, preoperative symptoms, etiology, segments involved, FVC and FEV1, type of surgical resection, complications, mortality, and length of hospital stay. Late surgical results were classified as excellent, complete remission of symptoms; good, significative improvement; and poor, little/no improvement. Results: 108 surgical resections (103 patients). OT group 54 patients (52.4%) vs. VATS 49 (47.6%). A high percentage of complications was observed, but no difference between the OT (29.6%) and VATS (24.5%) groups was found. Post-operative hospital stay was shorter in the VATS group (5.4 days) vs. the OT group (8.7 days (p=0.029). 75% of the patients had a late follow-up; the results were considered excellent in 71.4%, good in 26%, and poor in 2.6%. Regarding bronchiectasis distribution, an excellent percentage was obtained at 82.1% in patients with localized bronchiectasis and 47.5% with non-localized bronchiectasis, p=0.003. Conclusions: VATS leads to similar results regarding morbidity, compared to OT. However, VATS was related to shorter hospital stays, reflecting the early recovery. Late results were excellent in most patients, being better in patients with localized bronchiectasis. VATS should be considered a preferable approach for bronchiectasis lung resection whenever possible.

Details

Language :
English, Spanish; Castilian, Portuguese
ISSN :
18094546 and 01006991
Volume :
51
Database :
Directory of Open Access Journals
Journal :
Revista do Colégio Brasileiro de Cirurgiões
Publication Type :
Academic Journal
Accession number :
edsdoj.3153623bff5f440e9d48956fd5c87686
Document Type :
article
Full Text :
https://doi.org/10.1590/0100-6991e-20243748-en