Bilateral staged anatomic lung resection for bronchiectasis and infected polycystic disease complicated by bleeding: viability with 3 hypertrophied segments maintained

Abstract

Bilateral lung resections are performed  for various pathologies: pulmonary  emphysema,  parasitic diseases, metastatic  lesions, and bronchiectasis. In clinical practice, sequential or staged interventions  are more common.  Surgical treatment of bronchiectasis is currently carried out only in cases with complications  of localized forms and, as a rule, consists of resection of the affected part of the lung. The percentage of such patients is not large and amounts to about 5%. Taking into account the chronic course of bronchiectasis and certain successes of the conservative treatment, indications for resection operations  may arise at different periods of the patient’s life. Sometimes,  up to several decades can pass between the surgeries. Aim. To demonstrate  a rare clinical case of staged lung resection for bronchiectasis in a patient who had 4 lung lobes removed with an interval of 52 years. Results. History of the disease was described. Indications  for staged surgical interventions  were identified. The main characteristics  of the health status after the surgeries were described. Conclusion. The presented case illustrates the place and role of surgical methods in the treatment of bronchiectasis, as well as the compensatory  capabilities of the lung tissue in the case of staged resection interventions.