Không có trường hợp tử vong phẫu thuật, và hầu hết các bệnh nhân không có triệu chứng theo dõi. Vai trò của nội soi phế quản điều trị vẫn còn gây tranh cãi. Trong loạt bài này bằng Cole và các đồng nghiệp, của 42 bệnh nhân với broncholithiasis, nội soi phế quản được thực hiện trong 40 | Surgical Treatment of Bronchiectasis and Broncholithiasis 275 of the pulmonary artery in four patients esophagus in one and main stem bronchus in one other patient. There were no operative deaths and most patients were asymptomatic at follow-up. The role of therapeutic bronchoscopy remains controversial. In the series by Cole and colleagues of 42 patients with broncholithiasis bronchoscopy was performed in 40 with successful stone removal achieved in 8 20 .43 Cole and colleagues recommended that while removing bronchial stones excess force or traction should be avoided and that the use of bronchial irrigation may help to separate the stone from the bronchial wall. They also concluded that an attempt at endoscopic stone removal should be undertaken before complications develop. In the absence of significant symptoms or complications observation alone may be the best management strategy. References 1. Laennec RT. A treatise on diseases of the chest and mediate ausculation. 4th ed. Translated by J Forbes. New York S. Woodsons 1835. p. 100. 2. Kutlay H Cangir AK Enon S et al. Surgical treatment in bronchiectasis analysis of 166 cases. Eur J Cardiothorac Surg 2002 21 634-7. 3. Sealy WC Bradham RR Young WG. The surgical treatment of multisegmental and localized bronchiectasis. Surg Gynec Obst 1966 123 80-90. 4. Oschner A. Bronchiectasis. Disappearing pulmonary lesion. N Y State J Med 1975 75 1683-9. 5. Perry KMS Sellers TH eds . Chest diseases. London Butterworth 1963. 6. Heller G. Beitrage zur lehre van den fremdkorpern in den luftwegen. Gottingen WF Kaestner 1890. 7. Kartagener M. Zur pathogenese der bronchiectasien. Bronchiectasien bei situs inversus viscerum. Beitr Klin Tuberk 1933 8 489-501. 8. Heidenhain L. Ausgedehnte lungenresektion wegen zahlmeicher eiternder bronchiectasien in einem unter-lapen . gesselsch. Chir 1901 30 636. 9. Jackson C. The bronchial tree its study by the insufflation of opaque substances in the lung. Am J Roentgenol 1918 5 .
