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        "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">While the prevalence of bronchiectasis has decreased significantly over recent decades in developed countries&#44; resection for bronchiectasis still plays an important part in thoracic surgery practice in some countries&#44; such as Portugal&#46; Between 1994 and 2004&#44; 51 patients &#40;29 female and 22 male&#41; with a mean age of 38&#46;6 years &#40;range 4&#8211;65 years&#41; underwent pulmonary resection for bronchiectasis&#46; Mean duration of symptoms was 4&#46;8 years&#46; Surgery was indicated because of unsuccessful medical therapy in 25 patients &#40;49&#46;1&#37;&#41;&#44; haemoptysis in 12 &#40;23&#46;5&#37;&#41;&#44; lung mass in 9 &#40;17&#46;6&#37;&#41; and lung abscess in 5 &#40;9&#46;8&#37;&#41;&#46; The surgical treatment was pulmonectomy in 7 patients&#44; bilobectomy in 3&#44; lobectomy in 36 and segmentectomy in 5&#46; There was no operative mortality&#46; Complications occurred in 8 patients and the morbidity rate was 15&#46;7&#37;&#46; Follow-up was complete in 45 &#40;88&#46;2&#37;&#41; patients with a mean of 3&#46;4 years&#46; Overall&#44; 35 &#40;77&#46;7&#37;&#41; patients were asymptomatic after surgery&#44; symptoms were improved in 7 &#40;15&#46;6&#37;&#41;&#44; and unchanged or worse in 3 &#40;6&#46;7&#37;&#41;&#46; Unsuccessful medical therapy was still our main indication for surgery of bronchiectasis&#44; despite aggressive antibiotic therapy&#46; Surgical resection was performed with acceptable morbidity and morbidity and markedly improved symptoms in the majority of patients&#46;</p>"
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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">A preval&#234;ncia das bronquiectasias diminuiu significativamente nas &#250;ltimas d&#233;cadas&#44; principalmente nos pa&#237;ses desenvolvidos&#46; Contudo&#44; a ressec&#231;&#227;o cir&#250;rgica &#233; ainda a alternativa terap&#234;utica para um n&#250;mero significativo de doentes em alguns pa&#237;ses&#44; tais como Portugal&#46; Entre 1994 e 2004&#44; oper&#225;mos 51 doentes com bronquiectasias &#40;29 mulheres e 22 homens&#41;&#44; com idades compreendidas entre os 4 e os 65 anos &#40;m&#233;dia&#61; 38&#44;6 anos&#41;&#46; A dura&#231;&#227;o m&#233;dia dos sintomas foi de 4&#44;8 anos e a indica&#231;&#227;o cir&#250;rgica foi&#58; insucesso do tratamento m&#233;dico &#40;49&#44;1&#37;&#41;&#44; hemoptises &#40;23&#44;5&#37;&#41;&#44; massa pulmonar &#40;17&#44;6&#37;&#41; e abcesso &#40;9&#44;8&#37;&#41;&#46; Foram realizadas 7 pneumectomias&#44; 3 bilobectomias&#44; 36 lobectomias e 5 segmentectomias&#46; N&#227;o houve mortalidade operat&#243;ria e ocorreram complica&#231;&#245;es <span class="elsevierStyleItalic">major</span> em 8 doentes &#40;15&#44;7&#37;&#41;&#46; O <span class="elsevierStyleItalic">follow-up</span> foi poss&#237;vel em 45 doentes &#40;88&#44;2&#37;&#41; durante uma m&#233;dia de 3&#44;4 anos&#58; 35 &#40;77&#44;7&#37;&#41; ficaram assintom&#225;ticos ap&#243;s a cirurgia&#44; 7 &#40;15&#44;6&#37;&#41; melhoraram dos sintomas e 3 &#40;6&#44;7&#37;&#41; ficaram na mesma ou pioraram&#46; Apesar dos antibi&#243;ticos de largo espectro actualmente dispon&#237;veis&#44; o insucesso do tratamento m&#233;dico foi a principal indica&#231;&#227;o cir&#250;rgica de doentes com bronquiectasias&#46; A cirurgia melhorou os sintomas na maioria dos doentes e esteve associada a um baixo risco de morbi-mortalidade&#46;</p>"
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Surgical treatment of bronchiectasis
Tratamento cirúrgico das bronquiectasias
Miguel S. Guerra
Corresponding author
migueldavidguerra@yahoo.com

Correspondence to/Correspondência: Serviço de Cirurgia Cardiotorácica, Centro Hospitalar de Vila Nova de Gaia, Rua Conceição Fernandes, 4434-502 Vila Nova de Gaia, Porto, Portugal. Tel.: (+351) 227865100, Tlm: (+351) 933734217, Fax: (+351) 227865170.
, José António Miranda, Francisco Leal, Luís Vouga
Serviço de Cirurgia Cardiotorácica / Cardiothoracic Surgery Unit, Centro Hospitalar de Vila Nova de Gaia, Porto, Portugal / Centro Hospitalar de Vila Nova de Gaia, Porto, Portugal
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        "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">While the prevalence of bronchiectasis has decreased significantly over recent decades in developed countries&#44; resection for bronchiectasis still plays an important part in thoracic surgery practice in some countries&#44; such as Portugal&#46; Between 1994 and 2004&#44; 51 patients &#40;29 female and 22 male&#41; with a mean age of 38&#46;6 years &#40;range 4&#8211;65 years&#41; underwent pulmonary resection for bronchiectasis&#46; Mean duration of symptoms was 4&#46;8 years&#46; Surgery was indicated because of unsuccessful medical therapy in 25 patients &#40;49&#46;1&#37;&#41;&#44; haemoptysis in 12 &#40;23&#46;5&#37;&#41;&#44; lung mass in 9 &#40;17&#46;6&#37;&#41; and lung abscess in 5 &#40;9&#46;8&#37;&#41;&#46; The surgical treatment was pulmonectomy in 7 patients&#44; bilobectomy in 3&#44; lobectomy in 36 and segmentectomy in 5&#46; There was no operative mortality&#46; Complications occurred in 8 patients and the morbidity rate was 15&#46;7&#37;&#46; Follow-up was complete in 45 &#40;88&#46;2&#37;&#41; patients with a mean of 3&#46;4 years&#46; Overall&#44; 35 &#40;77&#46;7&#37;&#41; patients were asymptomatic after surgery&#44; symptoms were improved in 7 &#40;15&#46;6&#37;&#41;&#44; and unchanged or worse in 3 &#40;6&#46;7&#37;&#41;&#46; Unsuccessful medical therapy was still our main indication for surgery of bronchiectasis&#44; despite aggressive antibiotic therapy&#46; Surgical resection was performed with acceptable morbidity and morbidity and markedly improved symptoms in the majority of patients&#46;</p>"
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Pulmonology

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