{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T04:42:56Z","timestamp":1741754576036,"version":"3.38.0"},"reference-count":15,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,1,30]],"date-time":"2025-01-30T00:00:00Z","timestamp":1738195200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Surgical management for bronchiectasis is uncommon. This study reviewed the experience of bronchiectasis surgery and subsequent outcomes at a tertiary paediatric centre over a 20\u2009year period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective audit of children aged &lt;\u200918\u2009years who underwent bronchiectasis surgery at Starship Children's\u00a0Hospital between 2001 and 2021. Cases were identified from clinical coding, with demographics, pre\u2010operative investigations and outcomes obtained from clinical records.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Nineteen children (11 females, 42% Pasifika, 26% M\u0101ori and 26% New Zealand European) were included. Mean age of bronchiectasis diagnosis was 6.3\u2009years (range 2.1\u201313.9\u2009years) and mean age of surgery was 8.5\u2009years (range 2.6\u201315.9\u2009years). Indications for surgery included localised bronchiectasis (<jats:italic>n<\/jats:italic>\u2009=\u20097), main burden of multilobar disease in one lobe (<jats:italic>n<\/jats:italic>\u2009=\u20095) and persistent lobar collapse (<jats:italic>n<\/jats:italic>\u2009=\u20093). Pre\u2010operative investigations included chest computerised tomography scan (68%), bronchoscopy (37%) and overnight oximetry (42%). One child underwent documented pre\u2010operative clinical optimisation. For children with bronchiectasis &lt;\u20095\u2009years (<jats:italic>n<\/jats:italic>\u2009=\u200911), 81% demonstrated improved symptoms, 9% were unchanged and 9% deteriorated. All children with bronchiectasis &gt;\u20095\u2009years had symptomatic improvement. The mean number of daily symptoms decreased by 2.4 (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.0001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Lobectomy resulted in significant symptomatic improvement in 89% of children. However, pre\u2010operative work\u2010up was variable. The study highlights the importance of establishing a protocol for identification of children with bronchiectasis who would benefit from surgery and developing a consistent preparatory approach to ensure optimal and equitable outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.16775","type":"journal-article","created":{"date-parts":[[2025,1,30]],"date-time":"2025-01-30T11:29:42Z","timestamp":1738236582000},"page":"491-498","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Surgery for Bronchiectasis: Experience and Outcomes at\u00a0Starship Children's Hospital, Auckland, New Zealand"],"prefix":"10.1111","volume":"61","author":[{"given":"Clara","family":"Watson","sequence":"first","affiliation":[{"name":"Paediatric Registrar, Starship Children's Hospital  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dug Yeo","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Clinical Research Starship Children's Hospital  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3032-3172","authenticated-orcid":false,"given":"Catherine A.","family":"Byrnes","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine Starship Children's Hospital  Auckland New Zealand"},{"name":"Department of Paediatrics Faculty of Medical &amp; Health Sciences University of Auckland  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Hamill","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery Starship Children's Hospital  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philip","family":"Morreau","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery Starship Children's Hospital  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Edwards","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine Starship Children's Hospital  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,1,30]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/resp.14479"},{"key":"e_1_2_9_3_1","first-page":"1","volume-title":"The Impact of Respiratory Disease in New Zealand the 2020 Update. 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