Tracheobronchial sleeve resection with the use of a continuous anastomosis: Results of one hundred consecutive cases
Tracheobronchial sleeve resection with the use of a continuous anastomosis: Results of one hundred consecutive cases
复制标题
DOI：
10.1016/s0022-5223(99)70247-3
复制
发表时间：
1999-06-01
影响因子：
6
通讯作者：
Goldstraw, P
中科院分区：
文献类型：
--
作者：
Kutlu, CA;Goldstraw, P
目的：我们在我院使用连续缝合技术治疗所有气管和支气管阻塞，并取得满意的结果。本文的目的是回顾我们的经验，袖状切除术使用这种技术，并报告相关的发病率和死亡率在100例连续病例。方法：回顾了我们在100例连续病例中使用连续缝合（3-0聚丙烯）技术进行袖状切除的经验。患者的中位年龄为53.3岁，范围为21至81岁。其中男性54例，女性46例。恶性病变切除81例，获得性狭窄14例，良性肿瘤4例，外伤1例。未切除肺实质的28例中，气管切除16例，支气管切除12例。袖状肺切除2例，袖状肺叶切除66例，袖状肺段切除4例。术后并发症12例（12%），2例因支气管心房瘘和肺炎死亡（2%），晚期并发症5例，其中2例需支气管支架治疗，其他晚期并发症为探条扩张、再吻合、全肺切除术各1例。结论：我们的经验表明，连续缝合技术的结果与使用间断缝合技术进行气管和支气管吻合的报告系列的结果相当。
Objective: We have used a continuous suture technique for all tracheal and bronchial anastomoses with satisfactory results in our institution. The objective of this article is to review our experience with sleeve resections using this technique and report the associated morbidity and mortality in 100 consecutive cases. Methods: Our experience with sleeve resection using a continuous suture (3-0 polypropylene) technique was reviewed in 100 consecutive cases. The median age of the patients was 53.3 years with a range of 21 to 81 years. There were 54 male patients and 46 female patients. Resection was undertaken for malignant disease in 81 patients, acquired stricture in 14 patients, benign tumor in 4 patients, and trauma in 1 patient, Among 28 patients in whom lung parenchyma was not resected, 16 patients had tracheal resection and 12 had bronchial. sleeve resection, Sleeve pneumonectomy was undertaken in 2, sleeve lobectomy in 66, and sleeve segmentectomy in 4, Results: There were 12 postoperative complications (12%) and 2 postoperative deaths resulting from bronchoatrial fistula and pneumonia (2%), Stricture as a late complication occurred in 5 patients, 2 of whom required a bronchial stent, Other late complications were bougienage, reanastomosis, and completion pneumonectomy (1 each). Conclusion: Our experience suggests that the results of continuous suture technique are comparable with those from reported series using interrupted suture technique for tracheal and bronchial anastomosis.