Treatment for Bronchiectasis?

Written By: Prof. Dr. Semih Halezeroglu

What is Bronchiectasis?

Bronchiectasis is a permanent expansion of the bronchi after damage to the bronchial walls.

In general, bronchial damages appear due to infections suffered in childhood (such as measles and whooping cough). It shows itself in the form of excessive production of sputum, frequent infections fatigue and weight loss in patients.

In Bronchiectasis, a dense accumulation of sputum is seen throughout the respiratory tract. This image describes the complaints that occur during the disease.

What Happens in the Windpipe During Bronchiectasis?

bronşektazi: bronkoskopik görüntü

The photo shows the tomography images of our female patient with bronchiectasis in her left lung.

In bronchiectasis, the padiological appearance is defined as a “bunch of grapes”.

What are the Treatment Methods for Bronchiectasis?

  • It is treated primarily with antibiotics and inhaling medications.
  • Bronchial cleaning of patients is ensured by applying postural drainage method.
  • The lung is strengthened and its capacity is increased with respiratory physiotherapy.
  • The other treatment method is to surgically remove the affected lobe.
  • If the both lungs are affected, lung transplantation is needed.

Condition that Requires a Bronchiectasis Surgery

In cases where it cannot be cured with medications, the affected area should be surgically removed.

In cases where the bronchiectasis is situated in a limited area in the lung, a surgery is applied. Surgery is not performed for widespread bronchiectasis and in cases where the disease is taken under control with medications.

If any response to the medications cannot be achieved, if the quality of life deteriorates, and if some problems such as spitting up of blood, inflammation in the pulmonic cavity, and frequent hospitalization are encountered, a surgical intervention is needed.

One of the most important points among these is the deterioration of the patient’s quality of life. If the patient has a bronchiectasis that affects his/her social life, a surgical intervention would be useful.

After a bronchiectasis surgery, the quality of life gets significantly improved

What do the International Sources Recommend about Bronchiectasis?

bronşektazikitap 1 1By clicking on the adjacent photo, you can examine the chapter ‘BRONCHIECTASIS’ written by Prof.Dr. Semih Halezeroglu, in the book published in the United States (in English).

In bronchiectasis, surgery is needed only when the patient has some complaints (continuous production of sputum, cough, frequent infections etc.) that cannot be taken under control with medications.

What are the Surgical Methods for Bronchiectasis?

In open-surgery method, the lung is accessed through an incision of about 15 cm, made between the 5th and 6th ribs. The affected lobe or vessels and bronchi of the lung segment are cut, sutured, and then removed. If there is an air leak from the remaining lung tissue, they are repaired and the process is ended by placing 1 or 2 drains.

Single-Port Closed (Endoscopic) Surgery for Bronchiectasis

tek port vats yöntemi bronşektazi ameliyatı
endoskopik bronşektazi ameliyatı

Images of the operation and our patient after the surgery.

Copyright: Prof.Dr. Semih Halezeroglu

In this method, an incision of 4 cm is made, through which a camera and surgical instruments are pushed forward.  The affected lung lobe is removed, without extending the space between the ribs.

The operation takes about 2 hours. Patients are discharged from the hospital within 3 to 4 days.

Because the postoperative pain is much less than the pain after an open-surgery, the time required for returning to normal life is significantly shorter.

Our instructive video showing our patient, to whom we applied a “single-port closed surgery” / “endoscopic surgery” that can be performed only in certain medical centers of the world,

 can be watched from here. . This film is still shown in the United States, as an instructive video intended thoracic surgeons.

NEW: Our Single-Port Closed Surgery for Bronchiectasis was selected as one of the Creative and Instructional Operations of 2014 in the United States.

Please CLICK HERE for details

What are the Risks of Bronchiectasis Surgery?

There are some risks such as postoperative hemorrhage, pneumonia, infection, air leak from the lungs, etc. These can be seen in 5-7% of patients.

How Many Days Should I Stay in Hospital After Surgery?

On the average, patients who have undergone a closed surgery are discharged after 3 to 4 days.

Prof.Dr. Semih Halezeroğlu

Acibadem University, Faculty of Medicine Head of the Thoracic Surgery Department Director of Thoracic Surgery at Acibadem Maslak Hospital

Contact & Apppointment: Ebru Taskit

+90 212 304 3940 /