Yang Guozhu,Yuan Miao,He Taozhen,et al.Review of single-center experience for surgical treatment of bronchiectasis in children[J].Journal of Clinical Pediatric Surgery,,21():1174-1178.[doi:10.3760/cma.j.cn101785-202204028-014]
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Review of single-center experience for surgical treatment of bronchiectasis in children

Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R] volume: 第21卷 Number: 2022 12 Page: 1174-1178 Column: 论著 Date of publication: 1900-01-01
Author(s):
Yang Guozhu1;  Yuan Miao2;  He Taozhen2;  Cheng Kaisheng2;  Yang Gang2;  Xu Chang2
1 Department of Pediatric Surgery, First Affiliated Hospital, Xiamen University, Xiamen 361000, China;
2 Department of Pediatric Surgery; West China Hospital, Sichuan University, Chengdu 610041, China
Keywords:
Bronchiectasis; Surgical Procedures;  Operative; Pathology;  Surgical; Child
DOI:
10.3760/cma.j.cn101785-202204028-014
Abstract:
Objective To summarize the surgical experiences of bronchiectasis with pneumonectomy in children.Methods From January 2017 to December 2020,retrospective review was conducted for clinical data of children with bronchiectasis undergoing pneumonectomy at West China Hospital.There were 7 boys and 6 girls with an age range of(15-156)months.A definite diagnosed was made with high-resolution computed tomography(HRCT)and postoperative histopathology.Results Preoperative HRCT revealed marked restricted pulmonary bronchodilation with tube wall thickening partly due to foreign bodies or recurrent infection progression to bronchodilation formation(irreversible period).The procedures were lobectomy(n=11)or segsectomy(n=2).The major causes were congenital lung malformations(n=4),foreign body(n=5),pulmonary infection(n=1)and unknown(n=3).Postoperative complications included subcutaneous emphysema(n=4,30.8%),ipsilateral or contralateral lung infection(n=2,15.4%),atelectasis(n=1,7.7%)and wound infection(n=1,7.7%).Cure was achieved after conservative treatments of wound debridement,antibiotics,atomization expectorant,turnaround,back-patting and postural drainage.The outpatient follow-up period was 1 to 5 years.All clinical symptoms and quality-of-life improved significantly post-operation.Re-examination of chest HRCT hinted at an excellent recovery and there was no recurrence during follow-ups.Conclusion Congenital lung malformation,foreign body inhalation and end-stage lung infection are three major surgical indications of bronchiectasis in children.Bronchiectasis caused by various causes should be treated according to their corresponding clinical characteristics.

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Memo

收稿日期:2022-4-9。
通讯作者:徐畅,Email:xcxcxc52229081@163.com

Last Update: 1900-01-01