[Tracheal carina reconstruction and bronchoplasty in the treatment of 94 central type bronchogenic carcinomas].
BACKGROUND
To analyze the short-term effects and long term survival of patients with lung cancer underwent tracheal carina reconstruction and bronchoplasty.


METHODS
From April 1985 to May 1999, 94 patients with lung cancer underwent tracheal carina reconstruction and bronchoplasty, 14 for carinal resection and reconstruction and 80 for bronchial sleeves.


RESULTS
Postoperative complications were atelectasis ( 19 cases) , arrthymia ( 2 cases) and anastomotic leakage ( 1 case) . There was no operative death in this series. The 1-, 3- and 5-year survival rates were 83. 1%( 74/ 89) , 58. 3%( 35/ 56) and 34. 0%( 18/ 53) respectively for the entire group. The 5-year survival rate was 66. 7%( 6/ 9) in stage Ñ B disease, 40%( 6/ 15) in Ò B disease and 21. 1%( 4/ 19) in Ó A disease. The indication of these procedures and the methods of lymph node dissection, bronchoplasty and pulmonary artery reconstruction, and superior vena cava reconstruction have been discussed.


CONCLUSIONS
Bronchoplasty for lung cancer is a safe and effective therapy. The long term survival depends on the stage of lung cancer , proper selection of surgical indication, clearance of lymph nodes in operation and multiple modality therpay after operation.
Department of Thoracic Surgery, China-Japan Friendship Hospital , Beijing 100029, P. R. China.
D
D
Liu
F
F
Zhao
B
B
Ge
H
H
Zhao
Y
Y
Guo
B
B
Shi