41. Results of tracheal and bronchial surgery at 103 Military Hospital: 9 cases report

Vu Anh Hai, Nguyen Van Nam

Main Article Content

Abstract

We performed this retrospective, cross-sectional study to evaluate initial results of tracheal and bronchial surgery at the Department of Thoracic Surgery - Military Hospital 103, from January 2020 to June 2023. 9 patients underwent surgery, the mean of age was 35.3 ± 18.9 years, male/female ratio was 8/1. Stenosis resulted from post endotracheal tube placement (55.5%), post tracheostomy (22.2%), and tumor (22.2%). Patients with brain and meningeal diseases accounted for a high proportion (66.7%). Among 9 patients, there were 8 cases of tracheal stenosis and 1 case of left main bronchial stenosis. The majority (66.7%) had Grade III narrowing . Tracheal segment stenosis was 23.7 ± 10.9mm and left main bronchus stenosis was 15mm. Ventilation during anesthesia and surgery was quite complicated, one patient needed an emergency tracheostomy during anesthesia. Surgery time was 127.5 ± 41.7 minutes. Good and satisfactory results reached a high percentage (88.9%). The initial results showed that tracheal and bronchoplasty surgery was safe and feasible.

Article Details

References

1. James P, Parmar S, Hussain K, et al. Tracheal Stenosis after Tracheostomy. Br J Oral Maxillofac Surg. 2021; 59(1): 82-85. doi:10.1016/j.bjoms.2020.08.036.
2. Smith MM, Cotton RT. Diagnosis and management of laryngotracheal stenosis. Expert Rev Respir Med. 2018; 12(8): 709-717. doi:10.1080/17476348.2018.1495564.
3. Godin DA, Rodriguez KH, Hebert F. Tracheal stenosis. J La State Med Soc. 2000; 152(6): 276-80.
4. Saetti R, Ronzani G, Meneghesso S, et al. Operative technique: Tracheal resection and anastomosis in a revision surgery. Head Neck. 2023. doi:10.1002/hed.27468.
5. Grillo HC. Complication of Tracheal Reconstruction. Surgery of Tracheal. BC Decker Inc; 2004:872.
6. Nguyễn Đức Thắng, Nguyễn Trường Giang, Tràn Trọng Kiểm. Đánh giá các phương pháp phẫu thuật tạo hình di chứng hẹp khí quản do đặt ống nội khí quản hoặc mở khí quản. Tạp chí Y dược Lâm sàng 108. 2021; 16(4): 167-171.
7. Nguyễn Lý Thịnh Trường, Trần Quang Vịnh. Hẹp khí quản bẩm sinh do vòng sụn khép kín: Kết quả ban đầu phẫu thuật trượt tạo hình khí quản tại Bệnh viện Nhi Trung ương. Tạp chí Y học Việt Nam. 2022; 520(1A). doi:10.51298/vmj.v520i1.3763.
8. Vũ Hữu Vĩnh, Nguyễn Văn Khôi. Phẫu thuật sửa chữa hẹp khí quản và quai động mạch phổi bẩm sinh. Tạp chí Phẫu thuật tim mạch và lồng ngực Việt Nam. 2020; 6:59-64.
9. Schweiger C, Cohen AP, Rutter MJ. Tracheal and bronchial stenoses and other obstructive conditions. Journal of thoracic disease. Nov 2016; 8(11): 3369-3378. doi:10.21037/jtd.2016.11.74.