Bronchoplastic procedure has been considered as an appropriate surgery for traumatic bronchial disruption and occasionaly for primary bronchial tumors or tuberculosis because it can bring preservation of pulmonary tissue for patients without
compromising the chance for cure. Nowadays bronchoplastic procedure is also applicable for the selected cases of bronchogenic carcinomas with favorable long term survival, when compared to standard pneumonectomy.
Eighteen bronchoplastic procedures were performed with or without pulmonary resection April between 1990 and 1994. The patients were 11 men and 7 wemen with average age of 57 years (range, 19 to 71 years0. Tumor comprised 56% of the lesions,
including 6
squamous cell carcinoma (33%), 2 bronchial adenoma (11%), 1 leiomyoma and 1 metastatic osteogenic sarcoma. Cicatrical stenosis secondary to endobronchial tuberculosis and traumatic disruption occurred in 6 (33%) and 1 patient respectively.
1 case of intrabronchial foreign body was also included.
Applied surgical procedures were as follows; sleeve lobectomy. 8 cases (right upper : 6, left upper : 1, right middle : 1) : bronchial segmental resection without pulmonary resection, 2 cases : sleeve bilobectomy, 1 cases : patch dilating
bronchoplasty
with or without concomitant lobectomy in 7 cases. There was no perioperative mortality. Morbidity in 4 patients included 1 transient recurrent laryngeal nerve palsy, 1 unstability of bronchial patch resulting atelectasis of afftected lung and 2
bronchial stenosis of anastomotic site.
Throughout our experiences, we feel strongly that bronchoplastic procedure is a safe and effective surgical method preserving normal pulmonary tissue below affected bronchus for the wide range of various bronchia lesion including selected cases
of
bronchogenic carcinoma with acceptable complication and mortality.
(Korean J Thorac Cardiovasc Surg 1995;28:772-7)
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