Main Bronchial Reconstruction with Sparing of Pulmonary Parenchyma for Benign Diseases.
10.3346/jkms.2006.21.6.1017
- Author:
Jee Won CHANG
1
;
Yong Soo CHOI
;
Kwanmien KIM
;
Young Mog SHIM
;
Kyung Soo LEE
;
Ho Joong KIM
;
Jhingook KIM
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University, School of Medicine, 50 Ilwon-dong, Gangnam-gu, Seoul, Korea. jkim@smc.samsung.co.kr
- Publication Type:Original Article
- Keywords:
Surgery, Plastic;
Bronchi Reconstructive Procedures;
Tuberculosis, Endobronchial
- MeSH:
Treatment Outcome;
Survival Rate;
Survival Analysis;
Salvage Therapy/*mortality;
Risk Factors;
Risk Assessment/*methods;
Retrospective Studies;
Reconstructive Surgical Procedures/*mortality;
Prognosis;
Middle Aged;
Male;
Lung/surgery;
Korea/epidemiology;
Incidence;
Humans;
Female;
Constriction, Pathologic/mortality/surgery;
Child, Preschool;
Child;
Bronchial Diseases/*mortality/*surgery;
Bronchi/*surgery;
Aged;
Adult;
Adolescent
- From:Journal of Korean Medical Science
2006;21(6):1017-1020
- CountryRepublic of Korea
- Language:English
-
Abstract:
Main bronchial reconstruction is anatomically suitable for benign main bronchial stenosis. But, it has been hardly recommended for operative mortality and morbidity. This study was aimed at providing validity and the proper clinical information of bronchoplasty for benign main bronchial stenosis by reviewing the results we obtained over the last ten years for main bronchial reconstruction operations. We retrospectively reviewed admission and office records. Twenty eight consecutive patients who underwent main bronchoplasty were included. Enrolled patients underwent main bronchial reconstruction for benign disease (tuberculosis in 21, trauma in 4, endobronchial mass in 3). Concomitant procedures with main stem bronchoplasty were performed in 19 patients. There were no incidences of postoperative mortality and significant morbidity. There were 2 cases of retained secretions, and these problems were resolved by bronchoscopy or intubation. All of the patients are still alive without obstructive airway problem. Bronchoplasty should be considered as one of the primary treatment modalities, if it is anatomically feasible.
