[Study of tracheobronchial healing after lung and heart-lung transplantation. Apropos of 64 anastomoses].
The authors report an analysis concerning the healing of tracheo-bronchial anastomoses after lung- and heart-lung transplantation. The present study includes 64 anastomoses selected from a total of 80 cases. Sixteen had to be excluded because of early post-operative death; none of these deaths was related to an air-way complication. Bronchial healing was assessed by bronchoscopic follow-up; the appearance of the suture-line was classified according to Couraud's grades. The initial reference was the examination at 2 weeks, which was compared to subsequent follow-up. At the initial assessment, 42 anastomoses were grade I, 4 were grade II, and 18 were grade III. The subsequent anatomic result was satisfactory for 52 sutures (81%). The complications were malacia in 2 cases, stenoses treated with a stenting device in 4 cases, dehiscence in 6 cases. The duration of ischemia and post-operative mechanical respiratory support, as well as the proximal or distal site of the anastomosis appeared to be of significant prognostic value.
Giudicelli
R
R
Service de Chirurgie Thoracique et des Maladies de l'Oesophage, Hôpital Sainte-Marguerite, Marseille.
Le Mee
F
F
Thomas
P
P
Reynaud
M
M
Garbe
L
L
Camillieri
S
S
Badier
M
M
Viard
L
L
Barthélemy
A
A
Auffray
J P
JP
D000293:Adolescent; D000328:Adult; D000714:Anastomosis, Surgical; D001980:Bronchi / Q000601:surgery*; D001982:Bronchial Diseases / Q000209:etiology; D002648:Child; D004724:Endoscopy; D005260:Female; D016041:Heart-Lung Transplantation; D006801:Humans; D016040:Lung Transplantation; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011859:Radiography; D012121:Respiration, Artificial; D014132:Trachea / Q000000981:diagnostic imaging / Q000601:surgery*; D014945:Wound Healing / Q000502:physiology*
Etude de la cicatrisation trachéo-bronchique après transplantations pulmonaires et cardio-pulmonaires. A propos de soixante-quatre anastomoses.