Annals of Thoracic Medicine
LETTER TO THE EDITOR
Year
: 2011  |  Volume : 6  |  Issue : 3  |  Page : 156-

Bronchiectasis: Is there a role for video-assisted thoracic surgery?


Nikolaos Barbetakis1, Christos Asteriou1, Athanassios Kleontas1, Eleftheria Konstantinou2,  
1 Department of Thoracic Surgery, Theagenio Hospital, Thessaloniki, Greece
2 Department of Respiratory Medicine, Theagenio Hospital, Thessaloniki, Greece

Correspondence Address:
Nikolaos Barbetakis
Department of Thoracic Surgery, Theagenio Hospital, Thessaloniki
Greece




How to cite this article:
Barbetakis N, Asteriou C, Kleontas A, Konstantinou E. Bronchiectasis: Is there a role for video-assisted thoracic surgery?.Ann Thorac Med 2011;6:156-156


How to cite this URL:
Barbetakis N, Asteriou C, Kleontas A, Konstantinou E. Bronchiectasis: Is there a role for video-assisted thoracic surgery?. Ann Thorac Med [serial online] 2011 [cited 2020 Feb 27 ];6:156-156
Available from: http://www.thoracicmedicine.org/text.asp?2011/6/3/156/82457


Full Text

Sir,

We have read with great interest the article by Cobanuglu et al. concerning the role of surgery in the treatment of bronchiectasis and the effect of morphological type to prognosis. [1] The authors are to be congratulated for their very good results in terms of morbidity and mortality following surgical treatment. The aim of our brief comment is to highlight the role of video-assisted thoracic surgery (VATS) in selected cases of bronchiectasis. It is established in the international literature that, in experienced hands, VATS is a safe alternative to open procedures in the management of bronchiectasis. [2] Young patients with (1) localized bronchiectasis, (2) no severe pulmonary or pleural scarring and (3) absence of calcified lymph nodes near pulmonary vessels are eligible for VATS. The severity of adhesions to the hilum and, especially, in the fissure is the key limiting factor for a safe VATS major resection. Minimally invasive techniques such as VATS are increasingly used and provide an alternative approach to the management of bronchiectasis. Certainly, increased and ongoing experience with VATS will allow us to perform more sophisticated procedures in the near future.

References

1Cobanoglu U, Yalcinkaya I, Er M, Isik AF, Sayir F, Mergan D. Surgery for bronchiectasis: The effect of morphological types to prognosis. Ann Thorac Med 2011,6:25-32.
2Zhang P, Zhang F, Jiang S, Jiang G, Zhou X, Ding J, et al. Video-assisted thoracic surgery for bronchiectasis. Ann Thorac Surg 2011;91:239-243.