Coman C, Georgescu G, Lepădat P, Micu V, Zară D
Rev Chir Oncol Radiol O R L Oftalmol Stomatol Chir. 1975 Mar-Apr;24(2):95-104.
The present paper reports on 6 cases of bilateral bronchiectasis in patients aged 11 to 63 years, treated by simultaneous bilateral pulmonary resection and 1 case of bilateral bronchiectasis in which 14 segments were resected successively. Surgery by simultaneous bilateral approach and associated resection of the affected areas is a procedure that should be indicated, in the authors' opinion, only in carefully selected cases in which not more than 13 segments have to be resected. The indications and contraindications of surgery in bilateral bronchiectasis are discussed, preference being given to the simultaneous approach. In the cases reported at most 11 1/2 segments of the four pulmonary lobes affected were resected in a single stage; in 1 case 14 segments were resected successively, the resection exceeding in amplitude all similar one published until now. The immediate and late postoperative evolution (lesional and functional) were favourable, which pleads for a reconsideration of the approach to bilateral bronchiectasis and the application of the surgical treatment recommended, within the limits described.
本文报告了6例年龄在11至63岁之间的双侧支气管扩张患者，采用同期双侧肺切除术进行治疗，以及1例双侧支气管扩张患者，先后切除了14个肺段。作者认为，同期双侧入路并联合切除受累区域的手术，仅应在精心挑选的、需要切除不超过13个肺段的病例中进行。本文讨论了双侧支气管扩张手术的适应证和禁忌证，更倾向于同期入路。在所报告的病例中，一期切除的四个受累肺叶中最多有11.5个肺段；在1例病例中，先后切除了14个肺段，切除范围超过了迄今为止所有已发表的类似病例。术后近期和远期的病情演变（病变和功能方面）均良好，这表明需要重新考虑双侧支气管扩张的治疗方法，并在所述范围内应用推荐的手术治疗。
