|
KMID : 0364019950280020156
|
|
Korean Journal of Thoracic and Cardiovascular Surgery
1995 Volume.28 No. 2 p.156 ~ p.161
|
|
|
Surgical Result of Tracheal Resection and Primary Anstomosis in Tracheal Stenosis
|
|
조성래
하현철/허강배/김수현/박성달/이재성/김송명
|
|
|
Abstract
|
|
|
Although there are many kinds of method in treatment of tracheal stenosis, tracheal resection and primary anastomosis can be management of various kinds of tracheal stenosis because it is considered the most anatomical ideal therapeutic modality.
During
a 10-year period we performed 18 tracheal resection on 18 patients with no operative mortality and some morbidity. 13 patients had tracheal stenosis caused by endotracheal intubation (eight patients) or tracheostomy (five patients); and five
patients
caused by a variety of neoplastic lesions four primary and one secondary). The length of tracheal stenosis were various from 1.5cm to 5.5cm and site of tracheal stenosis were cervical (17 patients) and thoracic(one patient).
Operative techniques were tracheal resection and primary anastomosis (18 patients) and additional procedures were cricoid cartilage reconstruction with costal cartilage (one patient), primary repair of esophagus (one patient) and suprahyoid
laryngeal
release technique (eight patients) without any complications.
We have eight complications; tracheal restenosis were developed in five patients (growth of grannulation tissue at anastomotic site in three patients, delaryed restenosis in tv o patients), anastomotic disruption in one patient, hoarseness and
pneumonia
in each of two patients.
We managed tracheal complications with T-tube insertion in two patients, permanent tracheostomy in three patients and insertion of Gianturco tracheal stent in one patient, but tracheal stent did not reveal good result because it caused persistent
production of sputum.
We concluded that it is necessary to access full length of normal trachea including suprahyoid laryngeal release technique to avoid anastomotic tension in tracheal surgery and develop new ideal techniques to manage postoperative tracheal
complications,
because we suppose tracheal complications are developed due to anastomotic tension.
(Korean J Thoracic Cardiovas Surg 1995;28:156-61)
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
 
|
|
|
Listed journal information
|
|
  
|