OBJECTIVE: The incidence of @entity4595 has declined markedly in developed countries. However, a reasonable number of @entity1 still need surgery, despite aggressive physiotherapy and antibiotic therapy. We have reviewed our @entity1 to clarify the benefits from surgery and to analyse the complications. MATERIAL AND METHODS: Between 1988 and 1999, we have operated on 119 @entity1 with @entity4595 , 71 female and 48 male, with a mean age of 42.2 years (range 11--77 years). Surgery was indicated because of unsuccessful medical therapy in 66 @entity1 (55%), 31 (26%) had haemoptysis, 11 (9.2%) had @entity1997 , 10 (8.4%) had lung masses, and three (2.5%) had pneumothorax. The most common manifestations were cough with sputum in 90 @entity1 (76%), haemoptysis in 45 (38%) and recurrent infections in 57 (48%). The mean duration of the symptoms was 4 years (range 1--40 years). The lower lobes were diseased in 61 @entity1 and bilateral disease was found in ten. The mean number of involved @entity358 was five (range 1-15). A lobectomy was performed in 75 @entity1 (62%), a segmentectomy in 12 (10%), a pneumonectomy in nine (7.4%) and a bilobectomy in four (3.3%). Complete resection of the disease was achieved in 108 cases (91%). RESULTS: There was no operative mortality and perioperative morbidity occurred in 15 @entity1 (15%), including temporary broncho-pleural fistulae in 7 (5.8%), and post-operative @entity548 and @entity943 in four (3.3%) each. After a mean follow-up was 4.5 years, 73 @entity1 (68%) of this group were asymptomatic, and 31 (29%) had meaningful clinical improvement, while only four (3.7%) maintained or worsened prior symptoms. The best clinical improvement occurred in @entity1 with complete resection of the disease (P=0.008). There were no differences in the respiratory function, comparing pre- and post-operative data, with a 2-year of minimum interval. The VC was 91 and 89% and the FEV1 was 83% and 81% of expected, respectively before and after surgery, (P=NS). CONCLUSION: Surgery of pulmonary @entity4595 has few complications and markedly improves symptoms in the great majority of @entity1 , especially when complete resection of the disease is achieved. Pulmonary resection of @entity4595 does not alter respiratory function.

Surgery for XXXX .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity1997 :: ('MESH:D008169', 'Disease') :: ['lung abscess'] @entity548 :: ('MESH:D006470', 'Disease') :: ['haemorrhage'] @entity358 :: ('MESH:D008171', 'Disease') :: ['pulmonary segments'] @entity4595 :: ('MESH:D001987', 'Disease') :: ['bronchiectasis'] @entity943 :: ('MESH:D001145', 'Disease') :: ['atrial arrhythmias']
@entity4595 :: (MESH:D001987,Disease) :: ['bronchiectasis']
