{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T09:12:18Z","timestamp":1790154738942,"version":"4.0.1"},"reference-count":31,"publisher":"MDPI AG","issue":"19","license":[{"start":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T00:00:00Z","timestamp":1790121600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Clin. Med.","JCM"],"abstract":"<jats:p>Background\/Objectives: Surgical resection remains an important treatment option for selected patients with bronchiectasis who have persistent symptoms, recurrent pulmonary infections, or hemoptysis despite medical therapy. This study evaluated perioperative and follow-up outcomes after pulmonary resection for bronchiectasis in a predominantly video-assisted thoracoscopic surgery (VATS)-treated cohort. Methods: This retrospective single-center cohort included patients who underwent pulmonary resection for bronchiectasis between January 2009 and January 2026. Baseline and follow-up data were analyzed at the patient level, whereas operative and perioperative outcomes were assessed at the procedure level. Follow-up duration was calculated from the most recent resection to the last available clinical assessment. Results: Thirty-four patients underwent 37 pulmonary resections. Multilobar disease was present in 14 procedures (37.8%). VATS was used in 30 procedures (81.1%) and thoracotomy in 7 (18.9%). Median hospital stay was 11 days (range, 4\u201341). Postoperative complications occurred after 6 procedures (16.2%), with no 30-day mortality. Complete or partial symptomatic improvement occurred after 31 procedures (83.8%). Median follow-up was 20.8 months (interquartile range, 5.9\u201358.8; range, 0.4\u2013144.2). At the last available clinical assessment, 23 patients (67.6%) had no recorded symptoms; recurrent hemoptysis occurred in 1 (2.9%) and recurrent pulmonary infection in 2 (5.9%). Conclusions: Pulmonary resection for bronchiectasis was associated with acceptable morbidity, no 30-day mortality, and a high rate of postoperative clinical improvement in this VATS-dominant cohort. Most patients had no recorded symptoms at their last available clinical assessment, while recurrent hemoptysis and pulmonary infection were uncommon.<\/jats:p>","DOI":"10.3390\/jcm15197370","type":"journal-article","created":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T08:14:39Z","timestamp":1790151279000},"page":"7370","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Pulmonary Resection for Bronchiectasis: Perioperative and Follow-Up Outcomes in a VATS-Dominant Cohort"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9603-2861","authenticated-orcid":false,"given":"Atilla","family":"Can","sequence":"first","affiliation":[{"name":"Department of Thoracic Surgery, Faculty of Medicine, Selcuk University, Sel\u00e7uklu, Konya 42131, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"conceptualization","vocabulary":"credit"},{"role":"investigation","vocabulary":"credit"},{"role":"visualization","vocabulary":"credit"},{"role":"methodology","vocabulary":"credit"},{"role":"resources","vocabulary":"credit"},{"role":"supervision","vocabulary":"credit"},{"role":"software","vocabulary":"credit"},{"role":"data-curation","vocabulary":"credit"},{"role":"project-administration","vocabulary":"credit"},{"role":"validation","vocabulary":"credit"},{"role":"writing-original-draft","vocabulary":"credit"},{"role":"funding-acquisition","vocabulary":"credit"},{"role":"formal-analysis","vocabulary":"credit"},{"role":"writing-review-editing","vocabulary":"credit"}]},{"given":"H\u00fcseyin","family":"Y\u0131ld\u0131ran","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Faculty of Medicine, Selcuk University, Sel\u00e7uklu, Konya 42131, T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"conceptualization","vocabulary":"credit"},{"role":"investigation","vocabulary":"credit"},{"role":"visualization","vocabulary":"credit"},{"role":"methodology","vocabulary":"credit"},{"role":"resources","vocabulary":"credit"},{"role":"supervision","vocabulary":"credit"},{"role":"software","vocabulary":"credit"},{"role":"data-curation","vocabulary":"credit"},{"role":"project-administration","vocabulary":"credit"},{"role":"validation","vocabulary":"credit"},{"role":"writing-original-draft","vocabulary":"credit"},{"role":"funding-acquisition","vocabulary":"credit"},{"role":"formal-analysis","vocabulary":"credit"},{"role":"writing-review-editing","vocabulary":"credit"}]}],"member":"1968","published-online":{"date-parts":[[2026,9,23]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1038\/s41572-018-0042-3","article-title":"Bronchiectasis","volume":"4","author":"Chalmers","year":"2018","journal-title":"Nat. Rev. Dis. Primers"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"499","DOI":"10.1055\/s-0041-1730891","article-title":"Pathophysiology of bronchiectasis","volume":"42","author":"Keir","year":"2021","journal-title":"Semin. Respir. Crit. Care Med."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"230015","DOI":"10.1183\/16000617.0015-2023","article-title":"Basic, translational and clinical aspects of bronchiectasis in adults","volume":"32","author":"Chalmers","year":"2023","journal-title":"Eur. Respir. Rev."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"533","DOI":"10.1056\/NEJMra2202819","article-title":"Bronchiectasis\u2014A clinical review","volume":"387","year":"2022","journal-title":"N. Engl. J. Med."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"131","DOI":"10.4103\/1817-1737.82443","article-title":"Clinical, radiologic, and functional evaluation of 304 patients with bronchiectasis","volume":"6","author":"Habesoglu","year":"2011","journal-title":"Ann. Thorac. Med."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1186\/s12931-022-02023-8","article-title":"Increasing prevalence and burden of bronchiectasis in urban Chinese adults, 2013\u20132017: A nationwide population-based cohort study","volume":"23","author":"Feng","year":"2022","journal-title":"Respir. Res."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1900499","DOI":"10.1183\/13993003.00499-2019","article-title":"Increasing bronchiectasis prevalence in Germany, 2009\u20132017: A population-based cohort study","volume":"54","author":"Ringshausen","year":"2019","journal-title":"Eur. Respir. J."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"240091","DOI":"10.1183\/16000617.0091-2024","article-title":"Epidemiology of bronchiectasis","volume":"33","author":"Nigro","year":"2024","journal-title":"Eur. Respir. Rev."},{"key":"ref_9","doi-asserted-by":"crossref","unstructured":"Wang, L., Wang, J., Zhao, G., and Li, J. (2024). Prevalence of bronchiectasis in adults: A meta-analysis. BMC Public Health, 24.","DOI":"10.1186\/s12889-024-19956-y"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"1410","DOI":"10.1164\/rccm.201711-2202OC","article-title":"Characterization of the \u201cfrequent exacerbator phenotype\u201d in bronchiectasis","volume":"197","author":"Chalmers","year":"2018","journal-title":"Am. J. Respir. Crit. Care Med."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"2200611","DOI":"10.1183\/13993003.00611-2022","article-title":"Clinical outcomes of bronchiectasis in India: Data from the EMBARC\/Respiratory Research Network of India registry","volume":"61","author":"Dhar","year":"2023","journal-title":"Eur. Respir. J."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1016\/j.arbres.2018.07.002","article-title":"Prognostic value of frequent exacerbations in bronchiectasis: The relationship with disease severity","volume":"55","author":"Athanazio","year":"2019","journal-title":"Arch. Bronconeumol. Engl. Ed."},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Aliberti, S., Sotgiu, G., Lapi, F., Gramegna, A., Cricelli, C., and Blasi, F. (2020). Prevalence and incidence of bronchiectasis in Italy. BMC Pulm. Med., 20.","DOI":"10.1186\/s12890-020-1050-0"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"2002990","DOI":"10.1183\/13993003.02990-2020","article-title":"European Respiratory Society guidelines for the management of children and adolescents with bronchiectasis","volume":"58","author":"Chang","year":"2021","journal-title":"Eur. Respir. J."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"5843","DOI":"10.21037\/jtd-21-879","article-title":"Surgical treatment of non-cystic fibrosis bronchiectasis in Central Europe","volume":"13","author":"Selman","year":"2021","journal-title":"J. Thorac. Dis."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"634","DOI":"10.1016\/S1010-7940(02)00053-2","article-title":"Surgical treatment in bronchiectasis: Analysis of 166 patients","volume":"21","author":"Kutlay","year":"2002","journal-title":"Eur. J. Cardiothorac. Surg."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"246","DOI":"10.1016\/j.athoracsur.2010.03.064","article-title":"Surgical treatment of bronchiectasis: A retrospective analysis of 790 patients","volume":"90","author":"Zhang","year":"2010","journal-title":"Ann. Thorac. Surg."},{"key":"ref_18","first-page":"729","article-title":"Les bronchectasies: Indication et moment de la chirurgie","volume":"47","author":"Etienne","year":"1993","journal-title":"Ann. Chir."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"A235","DOI":"10.1136\/thoraxjnl-2016-209333.414","article-title":"P271 Rates of resectable bronchiectasis and introduction of a referral framework for surgical management of bronchiectasis","volume":"71","author":"Barmayehvar","year":"2016","journal-title":"Thorax"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1016\/j.athoracsur.2013.09.013","article-title":"Current surgical therapy for bronchiectasis: Surgical results and predictive factors in 86 patients","volume":"97","author":"Balci","year":"2014","journal-title":"Ann. Thorac. Surg."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"699","DOI":"10.1016\/S1010-7940(03)00497-4","article-title":"Surgical management of bronchiectasis: Analysis and short-term results in 238 patients","volume":"24","author":"Balkanli","year":"2003","journal-title":"Eur. J. Cardiothorac. Surg."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1016\/S1010-7940(01)00746-1","article-title":"Surgery for bronchiectasis","volume":"20","author":"Prieto","year":"2001","journal-title":"Eur. J. Cardiothorac. Surg."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"17382","DOI":"10.1038\/srep17382","article-title":"Efficiency and safety of surgical intervention to patients with non-cystic fibrosis bronchiectasis: A meta-analysis","volume":"5","author":"Fan","year":"2015","journal-title":"Sci. Rep."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"392","DOI":"10.1016\/j.jtcvs.2007.04.024","article-title":"Risk factors affecting outcome and morbidity in the surgical management of bronchiectasis","volume":"134","author":"Eren","year":"2007","journal-title":"J. Thorac. Cardiovasc. Surg."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"629","DOI":"10.5606\/tgkdc.dergisi.2020.19389","article-title":"Surgical treatment of bronchiectasis: Our 23 years of experience","volume":"28","author":"Acar","year":"2020","journal-title":"Turk. Gogus Kalp Damar Cerrahisi Derg."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"161","DOI":"10.1186\/1749-8090-6-161","article-title":"A long-term study assessing the factors influencing survival and morbidity in the surgical management of bronchiectasis","volume":"6","author":"Sehitogullari","year":"2011","journal-title":"J. Cardiothorac. Surg."},{"key":"ref_27","first-page":"ivad175","article-title":"Surgery for bronchiectasis-destroyed lung: Feasibility of video-assisted thoracoscopic surgery, and surgical outcomes","volume":"38","author":"Xu","year":"2024","journal-title":"Interdiscip. Cardiovasc. Thorac. Surg."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"17534666241228159","DOI":"10.1177\/17534666241228159","article-title":"Video-assisted thoracoscopic surgery for non-cystic fibrosis bronchiectasis in children","volume":"18","author":"Ding","year":"2024","journal-title":"Ther. Adv. Respir. Dis."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1055\/s-0034-1371852","article-title":"Surgical outcome of bronchiectasis in children: Long-term results of 60 cases","volume":"226","author":"Sahin","year":"2014","journal-title":"Klin. Padiatr."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"e20243748","DOI":"10.1590\/0100-6991e-20243748-en","article-title":"Early and late outcomes of video thoracoscopic versus open approach for bronchiectasis lung resections","volume":"51","author":"Oliveira","year":"2024","journal-title":"Rev. Col. Bras. Cir."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1016\/j.ejcts.2006.10.021","article-title":"Surgical management of bronchiectasis in childhood","volume":"31","author":"Sirmali","year":"2007","journal-title":"Eur. J. Cardiothorac. Surg."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/15\/19\/7370\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T08:54:58Z","timestamp":1790153698000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/15\/19\/7370"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,23]]},"references-count":31,"journal-issue":{"issue":"19","published-online":{"date-parts":[[2026,10]]}},"alternative-id":["jcm15197370"],"URL":"https:\/\/doi.org\/10.3390\/jcm15197370","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,23]]}}}