J.Jpn. Surg. Soc.. 80(11): 1225-1229, 1979
Report on the annual meeting
BRONCHOPLASTIC PROCEDURES
-TECHNIQUES AND RESULTS IN 22 CASES-
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2nd Department of Surgery, Hokkaido University School of Medicine M. Hashimoto, et al. |
The bronchial lesions include squamous cell carcinomas (16), carcinoid tumors (2), benign tumors (2), tuberculous stenosis and traumatic occlusion.
The anastomosis after annular or wedge resection of main broncus was carefully accomplished using interrupted 5-0 Tevdek sutures. The suture was placed through the bronchial wall and submucosa to avoid piercing the mucosa as far as possible.
There were no complications and no mortalities in the patients with benign bronchial lesions and carcinoid tumors.
One of the 16 patients with squamous cell carcinomas died of bronchial fistula 13 days postoperatively.
Two patients died 3 and 8 months following the operation due to massive hemoptysis.
Three patients developed granulation tissue obstructions at the site of anastomosis necessitating secondary pneumonectomies.
Sixty-two patients with squamous cell carcinomas underwent pulmonary resection between 1973 and 1978.
Using the life table methode, 45.5% 3 year survival rate was observed for 16 patients having bronchoplastic procedures combined with lobectomies, 57.1 % for 32 patients after lobectomies and 16.7% for 14 patients after pneumonectomies.
The bronchoplastic procedure combined with lobectomy should be applied to bronchial lesion as an alternative to pneumonectomy.
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