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(Chest. 1947;13:583-593.)
© 1947 American College of Chest Physicians

Multiple Segmental Resection in the Treatment of Bronchiectasis

RICHARD H. OVERHOLT M.D., F.C.C.P.1; REEVE H. BETTS M.D., F.C.C.P.1; and FRANCIS M. WOODS M.D.

1 The Department of Surgery, Tufts College Medical School, and the New England Deaconess Hospital, Boston, Massachusetts.

Bronchiectasis is usually a segmental rather than a lobar disease process. Surgical therapy should, ideally, remove all the involved segments without sacrificing any normal pulmonary tissue. Refinements and advances in diagnosis, localization, and surgical therapy now make such a goal attainable.

Fifty-three operations in 39 patients, with one death, are reported. All had at least two segments, or a lobe and a segment, excised. There are 26 cases with bilateral bronchiectasis in which bilateral operations have been completed on 14.

Segmental resection is especially applicable to patients with multilobar involvement where conservation of all normal pulmonary tissue is essential.






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