Methods: 5-year retrospective study of surgery for bronchiectasis. Preoperative and intraoperative risk factors were gathered. Data were analyzed for pulmonary and non-pulmonary complications.Results: Mean age was 43 years. There were 86 male and 46 female. The most common presentation was hemoptysis (92%). Sputum AFB was positive only in 8.3%. 20% are chronic smokers and 18% has diabetes mellitus.Mean number of segments involved with bronchiectasis was 5. It was bilateral in 20.5%. The ASA score was 8804; 2 in 87%. Lobectomy was the most common operation (80.3%). Mean duration of surgery was 320 minutes with blood loss of 1,600cc. 32.6% developed postoperative complications. Prolonged air leak was the most prevalent complication (23%). Mortality rate is 3.8%. There was no difference between those with (Group A) and those without complications(Group B) in terms of age, sex, BMI, smoking history, sputum AFB, history of diabetes, FBS, PCO2, co-existing aspergilloma, number of segments involved, and bilaterality. An ASA score ≥ 3 entailed higher complications (p=0.004). The duration of surgery (group A: 297 mins. vs group B:367 mins, p=0.0006), amount of blood loss (group A:1184 cc, group B:2452 cc, p= 0.006)and surgeon's experience (88.3%, p=0.0001) were factors that contributed to complications.Conclusion: ASA score ≥ 3, ACC/AHA intermediate & high risk, the duration of surgery ≥ 6 hours, blood loss of ≥ 2.4 liters, and the surgeon's experience influence the development of complications.
Full conference title:
15th European Respiratory Society annual conference
- ERS 15th (2005)