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Early and late outcomes of video thoracoscopic versus open approach for bronchiectasis lung resections.
Gomes Neto, Antero; Oliveira, Lucas Castro DE; Alves, Flávio Mendes; Nogueira, Leonardo Freire Alves; Oliveira, Vanessa Fernandes; Medeiros, Israel Lopes; Mariani, Alessandro Wasum.
Afiliação
  • Gomes Neto A; - Universidade Federal do Ceará, Cirurgia Torácica - Fortaleza - CE - Brasil.
  • Oliveira LC; - Hospital De Messejana Dr. Carlos Alberto Studart Gomes, Cirurgia Torácica - Fortaleza - CE - Brasil.
  • Alves FM; - Universidade Federal do Ceará, Cirurgia Torácica - Fortaleza - CE - Brasil.
  • Nogueira LFA; - Universidade Federal do Ceará, Cirurgia Torácica - Fortaleza - CE - Brasil.
  • Oliveira VF; - Universidade Federal do Ceará, Cirurgia Torácica - Fortaleza - CE - Brasil.
  • Medeiros IL; - Universidade Federal do Ceará, Cirurgia Torácica - Fortaleza - CE - Brasil.
  • Mariani AW; - Hospital De Messejana Dr. Carlos Alberto Studart Gomes, Cirurgia Torácica - Fortaleza - CE - Brasil.
Rev Col Bras Cir ; 51: e20243748, 2024.
Article em En, Pt | MEDLINE | ID: mdl-39258626
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.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Pneumonectomia / Bronquiectasia / Cirurgia Torácica Vídeoassistida Limite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En / Pt Revista: Rev Col Bras Cir Ano de publicação: 2024 Tipo de documento: Article País de publicação: Brasil
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Pneumonectomia / Bronquiectasia / Cirurgia Torácica Vídeoassistida Limite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En / Pt Revista: Rev Col Bras Cir Ano de publicação: 2024 Tipo de documento: Article País de publicação: Brasil