[Operative treatment of the endobronchial tuberculosis with cicatricial bronchiarctia]
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1Department of Thoracic Surgery, First Affiliated Hospital of Guangzhou Medical College.
Objective:
The experience of surgical treatment in 32 patients with cicatricial brochiarctia by endobronchial tuberculosis was reported.
Method:
The modes of surgical treatment in the series include: sleeve resection was done in 19 cases, lobectomy in 4 cases, pneumonectomy in 7, and left principal bronchial reconstruction in 2 cases.
Results:
The results were excellent and without operative death. Serious postoperative complication was bronchopleural fistula in one case. The patient was treated by surgical repair of the bronchial stump and buttressed with vascularized pedicle flaps of omentum in the second operation. 2 cases of 32 patients were affected with mild stenosis of bronchial anestomosis after a follow-up of 12 to 18 months.
Conclusions:
It was suggested that when the patient developed the endobronchial tuberculosis with cicatricial bronchiarctia, corrective operation should be performed as early as possible, and the sleeve resection should be the first choice.