Left main bronchus resection and reconstruction. A single institution experience

Journal of Cardiothoracic Surgery

Francesco Puma¹  Roberta Pecoriello¹  Niccolò Daddi¹  Lucio Cagini¹  Jacopo Vannucci¹  Mark Ragusa¹ 

[1] Thoracic Surgery Unit. University of Perugia Medical School, Ospedale S. Maria della Misericordia, Perugia, Italy

关键词: Surgery;    Bronchi;    Trachea;    Airway;   

Others  :  1153314
DOI  :  10.1186/1749-8090-7-29

 received in 2012-01-13, accepted in 2012-04-10,  发布年份 2012

【 摘 要 】

Background

Left main bronchus resection and reconstruction (LMBRR) is a complex surgical procedure indicated for management of inflammatory, benign and low grade malignant lesions. Its application provides maximal parenchymal sparing.

Methods

Out of 98 bronchoplastic procedures performed at the Authors' Institution in the 1995-2011 period, 4 were LMBRR. Indications were bronchial carcinoid in 2 cases, inflammatory pseudotumor in 1 case, TBC stricture in 1 case. All patients underwent preoperatively a rigid bronchoscopy to restore the airway lumen patency. At surgery a negative resection margin was confirmed by frozen section in the neoplastic patients. In all patients an end-to-end bronchial anastomosis was constructed according to Grillo.

Results

There were neither mortality nor major complications. Airway lumen was optimal in 3 patients, good in 1.

Conclusion

LMBRR is a valuable option for the thoracic surgeon. It maximizes the parenchyma-sparing philosophy, broadening the spectrum of potential candidates for cure. It remains a technically demanding procedure, to be carried out by an experienced surgical team. Correct surgical planning affords excellent results, both in the short and long term.

【 授权许可】

   
2012 Ragusa et al; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

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