Reconstruction of Mainstem Bronchus Obstructed by Endobronchial Tuberculosis.
- Author:
Su Wan KIM
1
;
Jhingook KIM
;
Young Mog SHIM
;
Kwhanmien KIM
;
Yong Soo CHOI
;
Hoseok I
;
Hojoong KIM
;
Jee Won CHANG
Author Information
1. Department of Thoracic & Cardiovascular Surgery, Sungkyunkwan University School of Medicine, Seoul, Korea. jhingook.kim@samsung.com
- Publication Type:Original Article
- Keywords:
Bronchial stenosis;
Bronchoplasty;
Bronchial disease
- MeSH:
Bronchi*;
Bronchial Diseases;
Bronchoscopy;
Constriction, Pathologic;
Humans;
Incidence;
Intubation;
Medical Records;
Mortality;
Outpatients;
Retrospective Studies;
Thorax;
Tuberculosis*
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2005;38(9):622-626
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: Non-invasive interventional therapy has been performed for main bronchial obstruction by endobronchial tuberculosis because of the risk of main bronchial reconstruction regardless of the pulmonary function. But, effects of the interventional therapy are attacked by arguments. This study was aimed at interpreting the risk and effectiveness of bronchoplasty for benign bronchial stenosis over the last ten years in our hospital by reviewing the results based on clinical progression. MATERIAL AND METHOD: We retrospectively reviewed the clinical records and out-patient medical records including 21 consecutive patients who underwent main bronchial reconstruction for obstruction by endobronchial tuberculosis. All of them had past medical history of anti-tuberculosis medication. They were preoperatively evaluated by bronchoscopy and chest computed tomography. RESULT: There were no incidences of postoperative mortality and significant morbidity. There were 2 cases of retained secretions but these problems were resolved by therapeutic bronchoscopy or intubation. All of the patients are still alive without obstructive airway problem. CONCLUSION: Bronchoplasty should be considered as one of the primary treatment modalities, if it is anatomically feasible.
