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. 2000;2000(4):CD002180.
doi: 10.1002/14651858.CD002180.

Surgery vs non-surgical treatment for bronchiectasis

Affiliations

Surgery vs non-surgical treatment for bronchiectasis

J A Corless et al. Cochrane Database Syst Rev. 2000.

Abstract

Background: Standard treatment for bronchiectasis comprises postural drainage and various regimes of antibiotic therapy. If the disease is confined to localised areas of lung, surgical resection of the affected segments is often performed.

Objectives: To assess the benefit of surgical resection compared with standard ("conservative") treatment.

Search strategy: The Cochrane Airways Group trials register derived from MEDLINE, EMBASE and hand searching of major journals was searched using the terms [bronchiect* AND surg* OR resection OR lobect* OR pneumonect* OR segementect*].

Selection criteria: Only randomised, controlled trials were considered

Data collection and analysis: The titles, abstracts and citations were independently reviewed by the two reviewers to assess potential relevance for full review. STATISTICAL CONSIDERATIONS Not applicable

Main results: No randomised or controlled clinical trials were found, other than case series or case-controlled studies.

Reviewer's conclusions: Surgical treatment of bronchiectasis is widely used, but there appear to be no randomised controlled trials. It is not possible to provide an unbiased estimate of its benefit compared to conservative therapy.

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Conflict of interest statement

None known

References

References to studies excluded from this review

Annest 1982a {published data only}
    1. Annest LS, Kratz JM, Crawford FA. Current results of treatment of bronchiectasis. Journal of Thoracic and Cardiovascular Surgery 1982;83:546‐50. - PubMed
Ashour 1996a {published data only}
    1. Ashour M, Al‐Kattan KM, Jain SK, Al‐Majed S, Kassimi F, Mobaireek A, et al. Surgery for unilateral bronchiectasis:results and prognostic factors. Tubercle and Lung Disease 1996;77:168‐72. - PubMed
Dogan 1989a {published data only}
    1. Dogan R, Alp M, Kaya S, Ayrancioglu K, Tastepe I, Unlu M, et al. Surgical treatment of bronchiectasis:a collective review of 487 cases. Journal of Thoracic and Cardiovascular Surgery 1989;37:183‐6. - PubMed
George 1979a {published data only}
    1. George SA, Leonardi HK, Overholt RH. Bilateral pulmonary resection for bronchiectasis: a 40 year experience. Annals of Thoracic Surgery 1979;28:48‐52. - PubMed
Kutlay 2002 {published data only}
    1. Kutlay H, Cangir AK, Enon S, Sahin E, Akal M, Gungor A, et al. Surgical treatment in bronchiectasis: analysis of 166 patients. European Journal of Cardio‐Thoracic Surgery 2002;21(4):634‐7. - PubMed
Sanderson 1974a {published data only}
    1. Sanderson JM, Kennedy MC, Johnson MF, Manley DC. Bronchiectasis: results of surgical and conservative management. Thorax 1974;29:407‐16. - PMC - PubMed

Additional references

Annest 1982b
    1. Annest LS, Kratz JM, Crawford FA. Current results of treatment of bronchiectasis. Journal of Thoracic and Cardiovascular Surgery 1982;83:546‐50. - PubMed
Ashour 1996b
    1. Ashour M, Al‐Kattan KM, Jain SK, Al‐Majed S, Kassimi F, Mobaireek A, et al. Surgery for unilateral bronchiectasis: results and prognostic factors. Tubercle and Lung Disease 1996;77:168‐72. - PubMed
Dogan 1989b
    1. Dogan R, Alp M, Kaya S, Ayrancioglu K, Tastepe I, Unlu M, et al. Surgical treatment of bronchiectasis: a collective review of 487 cases. Journal of Thoracic and Cardiovascular Surgery 1989;37:183‐6. - PubMed
George 1979b
    1. George SA, Leonardi HK, Overholt RH. Bilateral pulmonary resection for bronchiectasis: a 40 year experience. Annals of Thoracic Surgery 1979;28:48‐52. - PubMed
Sanderson 1974b
    1. Sanderson JM, Kennedy MC, Johnson MF, Manley DC. Bronchiectasis: results of surgical and conservative management. Thorax 1974;29:407‐16. - PMC - PubMed

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