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  1. Home
  3. Bilateral Bronchus Suis Tracheoplasty.
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Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer
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Bilateral Bronchus Suis Tracheoplasty.

Michael E Mitchell1, Margaret Ann Butler2

  • 1Children's Wisconsin, Department of Surgery, Division of Pediatric Cardiothoracic Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin.

Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual
|May 6, 2026

View abstract on PubMed

Summary
This summary is machine-generated.

Complex tracheal anomalies require surgical repair. Novel slide tracheoplasty variations, including side-to-side bronchus suis tracheoplasty, effectively stabilize airways in neonates with severe stenosis.

Keywords:
Christmas-tree tracheaanterior posterior Y-to-Y tracheobroncoplastybilateral side-to-side tracheobronchoplastybronchus suisside-to-side tracheobronchoplastytracheobronchial stenosis

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Area of Science:

  • Pediatric Surgery
  • Thoracic Surgery
  • Congenital Anomalies

Background:

  • Complex tracheal anomalies present significant challenges in neonatal airway management.
  • Slide tracheoplasty using autologous tissue is the standard for tracheal reconstruction.
  • Existing techniques may be insufficient for highly complex or extensive anomalies.

Purpose of the Study:

  • To describe innovative variations of slide tracheoplasty for complex neonatal tracheal anomalies.
  • To evaluate the efficacy of modified techniques in establishing stable airways.
  • To assess the preservation of growth potential following surgical intervention.

Main Methods:

  • Retrospective review of 9 patients with complex tracheal anomalies requiring modified slide tracheoplasty.
  • Application of side-to-side bronchus suis tracheoplasty for long-segment tracheobronchial stenosis with bronchus suis.
  • Utilization of bilateral side-to-side and anterior-posterior bilateral bronchus suis tracheoplasty for more complex anatomies.

    • Main Results:

    • Successful airway stabilization was achieved in all 9 patients using modified techniques.
    • Side-to-side bronchus suis tracheoplasty effectively addressed long-segment stenosis with reduced tension.
    • Bilateral techniques provided stable airways and preserved growth potential in complex cases.

    Conclusions:

    • Modified slide tracheoplasty techniques, including various bronchus suis reconstructions, offer effective solutions for complex neonatal tracheal anomalies.
    • These all-autologous reconstructions provide stable airways while accommodating growth.
    • Management remains challenging due to combined cardiac and tracheal complexities.