J.Jpn. Surg. Soc.. 80(11): 1210-1214, 1979
Report on the annual meeting
A FOLLOW-UP STUDY OF TRACHEOBRONCHIAL RECONSTRUCTION
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The 1st Department of Surgery, Osaka University Medical School Masazumi Maeda, et al. |
Typical techniques of anastomosis were shown on 16 mm movie films.
This survey was done comparing the recent 46 cases with the former 33 cases reported in 1976. The complications relating to operative techniques which were early recurrent nerve paresis and dehiscence of anastomosis and lately stricture of anastomosis, have been decreased in the recent cases. The frequency of the former two complications diminished from 9.1 % to 4.4% and the latter from 17.9% to 2.5% respectively. All three complications in the recent group have occurred by other causes than the technical error of anastomosis.
The rate of postoperative death is almost same between the former and the latter groups, calculating 10 to 15% in frequency.
The application basis of bronchoplasty for lung cancer was established from the study of peribronchial extension of cancer cells.
The survival rates of a bronchoplasty group was compared with a group which was decided to have been able to apply the bronchoplasty after a retrograde analysis of the preoperative chest X-ray films and the operative records. The survival of the latter group was higher than those of the operated cases of pulmonary cancer at the 1 to 5 years after operation, and, furthermore, a bronchoplasty group showed still higher survival rates than those of the latter group.
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