Surgical management of post-transplant bronchial stenoses: a single-center experience.
Surg Today
; 52(3): 449-457, 2022 Mar.
Article
em En
| MEDLINE
| ID: mdl-34431010
ABSTRACT
PURPOSE:
Bronchial stenoses are challenging complications after lung transplantation and are associated with high rates of morbidity and mortality. We report a series of patients who underwent bronchoplasty or sleeve resection for bronchial stenoses that did not resolve with endoscopic treatment after lung transplantation.METHODS:
Between 1995 and 2020, 497 patients underwent lung transplantation at our Institution. 35 patients (7.0%) experienced bronchial stenoses with a median time from transplantation of 3 months. Endoscopic management was effective in 28 cases (5.6%) while 1 patient required re-transplantation. Six patients (1.2%) underwent bronchoplasty or sleeve resection.RESULTS:
The procedures of the six patients who underwent bronchoplasty or sleeve resection were as follows lower sleeve bilobectomy (n = 3), wedge bronchoplasty of the bronchus intermedius (n = 1), isolated sleeve resection of the bronchus intermedius (n = 1), and isolated sleeve resection of the bronchus intermedius (n = 1), associated with a middle lobectomy. All patients were discharged after a median time of 11 days. At a median of 12 months from surgery, two patients remain alive with a preserved pulmonary function. Four patients died after a median time of 56 months from bronchoplasty of causes that were not related to surgery.CONCLUSIONS:
Bronchial reconstructions are challenging procedures that can be performed in highly specialized centers. Despite this, they can be considered a good strategy to obtain a definitive resolution of stenosis after lung transplantation.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Transplante de Pulmão
/
Neoplasias Pulmonares
Tipo de estudo:
Etiology_studies
Limite:
Humans
Idioma:
En
Revista:
Surg Today
Ano de publicação:
2022
Tipo de documento:
Article
País de afiliação:
Itália