[Surgical treatment for tracheobronchial tuberculosis].
We treated thirty nine patients with tuberculous tracheobronchial stenosis. Age varied from 22 to 53 years old (mean 32y.o.). Thirty one were female and eight were male. Main stenotic sites of the tracheobronchus were trachea in 3 cases, tracheal bifurcation in 2 cases, right main bronchus in 6 cases, left main bronchus in 25 cases, right intermediate bronchus in 2 cases, right lower lobe bronchus in 1 case. The modes of operations were tracheal sleeve resection + 1t. pneumonectomy + T tube insertion to the trachea in 1 patient, laser irradiation + T tube insertion to the trachea in 2 patients, carinal reconstruction in 2 patients, bronchial dilatation by Gebauer in 1 patient, left sleeve upper lobectomy in 13 patients, sleeve resection of the left main bronchus in 9 patients, sleeve resection of the left main bronchus + left upper lobectomy in 2 patients, right upper sleeve lobectomy in 5 patients, right upper wedge lobectomy in 1 patient, sleeve resection of the right intermediate bronchus in 2 patients, right S6 sleeve segmentectomy in 1 patient. One patients died of pulmonary edema. Anastomotic stenosis occurred in 4 patients. We conclude tracheobronchial reconstruction and stent tube therapy is very useful technic for preserve pulmonary function in patients with tracheobronchial tuberculosis.
Kikuchi
K
K
Department of Surgery, School of Medicine, Keio University, Tokyo, Japan.
Kobayashi
K
K
D000328:Adult; D001982:Bronchial Diseases / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D014135:Tracheal Stenosis / Q000601:surgery*; D016896:Treatment Outcome; D014397:Tuberculosis, Pulmonary / Q000601:surgery*