[Use of minitracheotomy in high-risk pulmonary resection surgery. Results of a comparative study].
Twenty patients undergoing lung resections were randomized into two groups: group 1 (n = 10) received mini-tracheotomy postoperatively and group 2 (n = 10) were control patients. The two groups were similarly matched in pulmonary functions (FEV1 < 1.8 1), performance status and surgical procedures (major pulmonary resections). All patients were monitored by serial chest X-ray examinations, arterial blood gases, clinical assessment and response to chest physiotherapy. Postoperative pulmonary complications of atelectasis/bronchopneumonia developed in 1 patient in group A and 4 patients in group B. Two patients of this last group required mini-tracheotomy to treat the pneumonia. The mean overall duration of mini-tracheotomy was 6.3 days. Five patients presented minor temporary symptoms related to mini-tracheotomy, including voice changes, discomfort and stridor. No long term morbidity was observed. We concluded that the use of mini-tracheotomy is safe and effective in decreasing postoperative respiratory morbidity in high risk patients.
Quidaciolu
F
F
Regione Liguria, USL n. 11, Sezione di Chirurgia Toracica, Ospedali Civili di Genova, Sampierdarena.
Guasone
F
F
Pastorino
G
G
De Negri
A
A
Giua
R
R
Pesce
D
D
D000368:Aged; D001996:Bronchopneumonia / Q000209:etiology; D006801:Humans; D008168:Lung / Q000601:surgery*; D008875:Middle Aged; D011182:Postoperative Care; D011183:Postoperative Complications / Q000209:etiology; D011446:Prospective Studies; D001261:Pulmonary Atelectasis / Q000209:etiology; D012307:Risk Factors; D014140:Tracheotomy / Q000379:methods*
L'uso della minitracheotomia nella chirurgia resettiva polmonare a rischio. Risultati di uno studio comparativo.