title: Surgical results of 29 patients with benign tracheobronchial lesions.
abstract: This study was carried out in order to evaluate the surgical results of benign tracheobronchial diseases. Between July 1988 and March 1996, tracheobronchial surgery was performed on 29 patients with a variety of benign diseases. The primary diseases were post intubation or post tracheostomy tracheal stenosis (n = 12), tuberculous stenosis (n = 7), congenital tracheal stenosis with or without vascular ring (n = 4), tracheobronchial tumour (n = 2), oesophageal tumour (n = 1), and miscellaneous conditions (n = 3). Thirty-one operative procedures included sleeve lobectomy (n = 7), sleeve resection of trachea (n = 17) and bronchus (n = 2), and plastic surgery of trachea (n = 4) and bronchus (n = 1). There was one operative death, which put the mortality rate at 3.4%. There were five postoperative complications in this series (17.2%), including anastomotic disruption of trachea (n = 1), bilateral vocal cord palsy (n = 1), prolonged endotracheal intubation (n = 1) and overgrowth of granulation (n = 2). The complication of anastomotic disruption of trachea was treated by insertion of a tracheal T-tube, and the granulation was treated by bronchoscopic excision. We suggest that tracheobronchoplasty is a safe procedure in carefully selected patients with benign diseases.
authors.affiliation: Department of Surgery, National Cheng Kung University Hospital, Tainan, Taiwan.
authors.forename: M H
authors.initials: MH
authors.lastname: Wu
authors.forename: Y L
authors.initials: YL
authors.lastname: Tseng
authors.forename: M Y
authors.initials: MY
authors.lastname: Lin
authors.forename: W W
authors.initials: WW
authors.lastname: Lai
mesh_terms: D000293:Adolescent; D000328:Adult; D001982:Bronchial Diseases / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*; D001984:Bronchial Neoplasms / Q000175:diagnosis / Q000401:mortality / Q000601:surgery; D002648:Child; D002675:Child, Preschool; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D013514:Surgical Procedures, Operative / Q000379:methods; D015996:Survival Rate; D013624:Taiwan; D014133:Tracheal Diseases / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*; D014134:Tracheal Neoplasms / Q000175:diagnosis / Q000401:mortality / Q000601:surgery; D016896:Treatment Outcome