title: [Review of the Literature for Interpretation of Endobronchial Wound Healing after Tracheobronchial Sleeve Resection].
abstract: Sleeve resection comprises 3.1 % to 27.7 % of all anatomic lung resections performed in Germany. Anastomotic insufficiency is a feared complication that should be avoided. When anastomotic insufficiency does lead to secondary pneumonectomy, postoperative morbidity and mortality is high (30 % to 80 %). It is therefore very important to standardize the technique of sleeve resection as well as postoperative care. The time-point of postoperative follow-up and the interpretation of endobronchial healing have not yet been defined. In this paper anastomotic healing is described and interpreted with the help of a 5-step classification that allows bronchoscopic evaluation and classification of the anastomosis. The aim is to provide a standardized algorithm for postoperative care after sleeve resection. The basis of this classification and postoperative care measures derived from it are described and illustrated with the help of clinical examples.
authors.affiliation: Lungenklinik Merheim, Lungenkrebszentrum Köln-Merheim, Private Universität Witten Herdecke, Kliniken der Stadt Köln gGmbH.
authors.forename: C
authors.initials: C
authors.lastname: Ludwig
authors.affiliation: Lungenklinik Merheim, Lungenkrebszentrum Köln-Merheim, Private Universität Witten Herdecke, Kliniken der Stadt Köln gGmbH.
authors.forename: A
authors.initials: A
authors.lastname: Koryllos
authors.affiliation: Lungenklinik Merheim, Lungenkrebszentrum Köln-Merheim, Private Universität Witten Herdecke, Kliniken der Stadt Köln gGmbH.
authors.forename: D
authors.initials: D
authors.lastname: Zalepugas
authors.affiliation: Lungenklinik Merheim, Lungenkrebszentrum Köln-Merheim, Private Universität Witten Herdecke, Kliniken der Stadt Köln gGmbH.
authors.forename: E
authors.initials: E
authors.lastname: Stoelben
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods*; D001980:Bronchi / Q000601:surgery*; D005858:Germany / Q000453:epidemiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy / Q000379:methods*; D011182:Postoperative Care / Q000379:methods*; D013536:Suture Techniques; D016896:Treatment Outcome; D014945:Wound Healing