J.Jpn. Surg. Soc.. 80(11): 1202-1205, 1979
Report on the annual meeting
TRACHEOBRONCHOPLASTY
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Department of Surgery Tokyo Medical College Kenkichi Oho |
Of 5 cases of traumatic tracheal and bronchial injury 1 case exhibited a slight degree of stenosis at the anastomotic site, but the remainder showed none whatsoever and had good postoperative courses. It is important to perform reconstruction of the trachea and bronchus as rapidly as possible after traumatic tracheal or bronchial rupture, before pleural thickening or cicatrix formation can take place. Of 3 cases of tubercular bronchial stenosis, recurrence of the stenosis was observed in 2 cases following reconstructive procedures. In such cases it is essential due seriously and carefully evaluate the case in particular in terms of the presence of bronchiectasis peripheral to the stenotic portion, other inflammatory changes of the lung or bronchus, the existence of an active lesion in order to decide the type and timing of the procedure. This is of particular importance as in such of bronchial stenosis due to tuberculous bronchitis it is easy for stenosis to recur as a result of regrowth of granulation at the anastomotic site of the broncheoplasty procedure.
Broncheoplasty procedure were also performed in 5 tumor cases; 2 cases of lung cancer, 1 case each of cancer of the trachea, neurofibrosarcoma and metastatic bronchial lesion metastatic from cancer of the kidney. Evaluation of prognoses of broncheoplasty procedure cases and those treated by more conservative therapy suggested that the most appropriate indication for the procedure in malignant cases is a low-malignant bronchial tumor or central type early stage lung cancer.
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