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KMID : 0364019960290121366
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Korean Journal of Thoracic and Cardiovascular Surgery
1996 Volume.29 No. 12 p.1366 ~ p.1372
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Bronchoplastic Procedures in Patients with Benign Bronchila Stenosis and Obstruction
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조건현
조민섭/문석환/조규도/박재길/왕영필/관문섭/김세화
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Abstract
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Bronchoplasty has gained popularity in the selected cases of bronchogenic carcinoma with poor pulmonary reserve, and also has been a choice of treatment for obstructive bronchial diseases since it can cure patient completely with preservation of
pulmonary function. From Apr. 1990 to Apr. 1996 two methods of bronchoplastic procedures, a patch dilating bronchoplasty and a segmental bronchial resection with end-to-end anastomosis, were performed with or without concominant pulmonary
resection
in
13 patients with benign bronchial stenosis and obstruction. The patients were 8 men and 5 women with average age of 43 years(range 19 to 64 years). Patch dilating bronchoplasty using autogenous perichondrium and pericardium was applied in 5 cases
of
bronchial stenosis. Antecedant diseases of bronchial stenosis were 3 inflammatory bronchiectas is, and 2 endobronchial tuberculose is mixed with bronchiectas is. Segmental bronchial resection with end-to-end anastomosis was applied in 8 cases of
bronchial obstruction. Which were caused by endobronchial tuberculosis in 6 and cicatrization after trauma and foreign body in one case each. Bronchial obstructive symptoms and signs including rccurrent pulmonary infection, dyspnea and wheezing
were
disappeared postoperatively with satisfactory recovery of physical activity. There was no operative mortality. Morbidity occured in 2 patients which were one case of unstability of applied bronchial patch resulting atelectasis and one case of
bronchial
restenosis at the anastomotic site. Based upon our experiences, we conclude that bronchoplastic procedure can be done with great success in patients with lung atelectasis caused by bronchial obstruction or stenosis and it restores physiologic
function
of collapsed lung with acceptable complication.
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KEYWORD
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