Bronchoplastic procedures for tuberculous bronchial stenosis

R. Kato, T. Kakizaki, N. Hangai, M. Sawafuji, T. Yamamoto, T. Kobayashi, Masazumi Watanabe, M. Nakayama, M. Kawamura, K. Kikuchi, K. Kobayashi, T. Ishihara

Research output: Contribution to journalArticle

33 Citations (Scopus)

Abstract

Thirty-six patients underwent tracheobronchoplastic procedures for treatment of tuberculous tracheobronchial stenosis. The modes of operations were left upper sleeve lobectomy in 13 patients, sleeve resection of the left main bronchus in 12 patients (two underwent concomitant left upper lobectomy), right upper sleeve lobectomy in five patients, sleeve resection of the right intermediate bronchus in two patients, right sleeve superior segmentectomy of the lower lobe in one patient, sleeve resection of the trachea with concomitant left pneumonectomy in one patient, carinal resection with right upper sleeve lobectomy and middle lobectomy in one patient, and dilatation of the left main bronchus with a free skin graft reinforced with a steel wire in one patient. One patient died of pulmonary edema of unknown cause on the first postoperative day. Anastomotic stenosis occurred in seven patients. One of these patients underwent reoperation and six underwent endoscopic dilatation. One patient died in the hospital of massive bleeding during endoscopic dilatation 4 months after operation. Slight to moderate stenosis resulted in the remaining patients. Although there are some complications, we believe bronchoplastic operation is worthwhile for restoring pulmonary function in patients with tuberculous tracheobronchial stenosis.

Original languageEnglish
Pages (from-to)1118-1121
Number of pages4
JournalJournal of Thoracic and Cardiovascular Surgery
Volume106
Issue number6
Publication statusPublished - 1993

Fingerprint

Pathologic Constriction
Bronchi
Dilatation
Segmental Mastectomy
Pneumonectomy
Steel
Patient Rights
Pulmonary Edema
Trachea
Reoperation
Hemorrhage
Transplants
Lung
Skin

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

Kato, R., Kakizaki, T., Hangai, N., Sawafuji, M., Yamamoto, T., Kobayashi, T., ... Ishihara, T. (1993). Bronchoplastic procedures for tuberculous bronchial stenosis. Journal of Thoracic and Cardiovascular Surgery, 106(6), 1118-1121.

Bronchoplastic procedures for tuberculous bronchial stenosis. / Kato, R.; Kakizaki, T.; Hangai, N.; Sawafuji, M.; Yamamoto, T.; Kobayashi, T.; Watanabe, Masazumi; Nakayama, M.; Kawamura, M.; Kikuchi, K.; Kobayashi, K.; Ishihara, T.

In: Journal of Thoracic and Cardiovascular Surgery, Vol. 106, No. 6, 1993, p. 1118-1121.

Research output: Contribution to journalArticle

Kato, R, Kakizaki, T, Hangai, N, Sawafuji, M, Yamamoto, T, Kobayashi, T, Watanabe, M, Nakayama, M, Kawamura, M, Kikuchi, K, Kobayashi, K & Ishihara, T 1993, 'Bronchoplastic procedures for tuberculous bronchial stenosis', Journal of Thoracic and Cardiovascular Surgery, vol. 106, no. 6, pp. 1118-1121.
Kato R, Kakizaki T, Hangai N, Sawafuji M, Yamamoto T, Kobayashi T et al. Bronchoplastic procedures for tuberculous bronchial stenosis. Journal of Thoracic and Cardiovascular Surgery. 1993;106(6):1118-1121.
Kato, R. ; Kakizaki, T. ; Hangai, N. ; Sawafuji, M. ; Yamamoto, T. ; Kobayashi, T. ; Watanabe, Masazumi ; Nakayama, M. ; Kawamura, M. ; Kikuchi, K. ; Kobayashi, K. ; Ishihara, T. / Bronchoplastic procedures for tuberculous bronchial stenosis. In: Journal of Thoracic and Cardiovascular Surgery. 1993 ; Vol. 106, No. 6. pp. 1118-1121.
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