HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Hollaus, P. H. Articles by Pridun, N. S. Search for Related Content PubMed PubMed Citation Articles by Hollaus, P. H. Articles by Pridun, N. S. Related Collections Lung - cancer

Ann Thorac Surg 2001;72:357-361
© 2001 The Society of Thoracic Surgeons

---

Original article: general thoracic

Telescope anastomosis in bronchial sleeve resections with high-caliber mismatch

^a Department of Thoracic Surgery, Otto Wagner Hospital, Vienna, Austria

Accepted for publication April 17, 2001.

Address reprint requests to Dr Hollaus, Department of Thoracic Surgery, Otto Wagner Hospital, Vienna, Sanatoriumstrasse 2, A-1145 Vienna, Austria
e-mail: peter.hollaus{at}pul.magwein.gv.at

Background. The efficacy of bronchial telescope anastomosis was evaluated retrospectively in patients undergoing sleeve resections with high-caliber mismatch.

Methods. The hospital charts of patients undergoing upper and lower sleeve bilobectomy and lower lobe lobectomy with replantation of the middle lobe or upper lobe into the mainstem bronchus were retrospectively reviewed. Age, sex, side, TNM stage, preoperative forced expiratory volume in 1 second (FEV₁ [%]), preoperative risk factors, postoperative course, survival (months), and causes of death were recorded.

Results. Fifteen patients suffering from bronchial carcinoma were operated on. In 6 cases FEV₁ was less than 2 L (FEV₁ 49% to 80%, mean 64.3, median 61). Three patients were 70 years and older. There were 7 high-risk cases presenting with coronary heart disease (n = 3), chronic alcoholism (n = 3), cerebrovascular disease (n = 1), and active tuberculosis (n = 1). Local radicality was achieved in all patients but 1, in whom pneumonectomy was contraindicated. There was no postoperative mortality. Early complications consisted of 1 anastomotic dehiscence successfully closed with an intercostal flap and 1 patient with bilateral pneumonia requiring mechanical ventilation for 5 days. One parenchymal fistula led to prolonged drainage; in 1 patient pneumothorax after removal of the chest tube required redrainage. There were no late complications, and no anastomotic stenosis developed. Survival ranged from 12 to 56 months (median 29.8, mean 30, SD 15.7). Seven patients died between 3.9 and 14 months postoperatively (mean 8.5, median 6.9) of intrabronchial local recurrence (n = 1), distant recurrence (n = 3), intrathoracic recurrence (n = 1), and nontumor-related causes (n = 2).

Conclusions. Telescope anastomosis is a safe and efficient technique of bronchial sleeve resection.

This article has been cited by other articles:

				M. Kamiyoshihara, T. Ibe, A. Takise, and I. Takeyoshi Atypical bronchoplasty to preserve the lung parenchyma: The bronchofolding technique. J. Thorac. Cardiovasc. Surg., May 1, 2008; 135(5): 1184 - 1185. [Full Text] [PDF]

				A. S. Bayram, M. M. Erol, H. Salci, O. Ozyigit, S. Gorgul, and C. Gebitekin Basic interrupted versus continuous suturing techniques in bronchial anastomosis following sleeve lobectomy in dogs Eur. J. Cardiothorac. Surg., December 1, 2007; 32(6): 852 - 854. [Abstract] [Full Text] [PDF]

				M. Kanzaki, K. Oyama, M. Nishiuchi, T. Ikeda, M. Murasugi, and T. Onuki Bronchoplasty With Plication of The Proximal Bronchial Membranous Portion Asian Cardiovasc Thorac Ann, December 1, 2002; 10(4): 372 - 373. [Abstract] [Full Text] [PDF]