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Ann Thorac Surg 1973;15:301-312
© 1973 The Society of Thoracic Surgeons

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Articles

Tracheobronchial Reconstruction

From the Departments of Surgery, Yverdon Hospital and the University of Geneva, Geneva, Switzerland

^* Address reprint requests to Dr. Naef, Yverdon Hospital, 1400 Yverdon, Switzerland

Forty-six tracheobronchial resections are reviewed. In 13 patients extensive tracheal resection was carried out, employing extrapleural sternotomy for the proximal trachea and right thoracotomy for the distal trachea. Chromic catgut sutures tied outside were found to be satisfactory. There were no instances of fistula, suture disruption, or hemorrhage. Anastomotic stenosis in 7 of the 46 patients was due to insufficient blood supply, virulent infection, and probably overuse of steroids. Posttracheotomy stenosis, tuberculosis, benign tumors, and carcinoma were the usual indications for resection. One patient is living and well five years after resection for tracheal carcinoma. Twenty bronchial resections for carcinoma (18 on the right side) definitely improved the quality of life with a duration of survival at least as long as would have been expected if a classic lung resection had been done.

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