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Bronchial obstruction after upper lobectomy: kinked bronchus relieved by stenting
M Van Leuven1, J A Clayman, N Snow
1Department of Surgery, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA.
The Annals of Thoracic Surgery
|July 27, 1999
Summary
Post-resection bronchial kinking caused airway obstruction in two patients after upper lobectomy. Intrabronchial stenting effectively relieved this obstruction, offering positive intermediate-term outcomes.
Area of Science:
- Thoracic Surgery
- Pulmonary Medicine
- Surgical Complications
Background:
- Upper lobectomy is a common thoracic surgical procedure.
- Post-operative bronchial kinking can lead to airway obstruction.
- Identifying causative factors and effective treatments for bronchial kinking is crucial.
Observation:
- Two patients developed obstructive symptoms following upper lobectomy.
- The symptoms were attributed to post-resectional kinking of the lower lobe bronchus.
- Exaggerated upward displacement of the remaining lower lobe was identified as the likely cause.
Findings:
- Intrabronchial stenting was employed to address the bronchial obstruction.
- The stenting procedure successfully relieved the airway obstruction in both patients.
- Satisfactory intermediate-term results were observed following the intervention.
Implications:
- Intrabronchial stenting presents a viable treatment option for post-lobectomy bronchial kinking.
- This approach can effectively manage obstructive symptoms and improve patient outcomes.
- Further research into preventing and managing bronchial kinking post-lobectomy is warranted.