Analysis of 40 patients who underwent tracheal resection due to benign complex tracheal stenosis
Background: Benign tracheal stenosis is a common complication in patients followed up in intensive care units. We aimed to analyze the etiology, diagnostic approaches, treatment methods for benign tracheal stenosis, and the predicting factors for complications after tracheal resection for benign ste...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-01-01
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| Series: | Asian Journal of Surgery |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1015958421002578 |
| _version_ | 1819172301889863680 |
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| author | Mehmet Furkan Sahin Muhammet Ali Beyoglu Alkin Yazicioglu Erdal Yekeler |
| author_facet | Mehmet Furkan Sahin Muhammet Ali Beyoglu Alkin Yazicioglu Erdal Yekeler |
| author_sort | Mehmet Furkan Sahin |
| collection | DOAJ |
| description | Background: Benign tracheal stenosis is a common complication in patients followed up in intensive care units. We aimed to analyze the etiology, diagnostic approaches, treatment methods for benign tracheal stenosis, and the predicting factors for complications after tracheal resection for benign stenosis. Material-method: Forty patients who underwent tracheal resection reconstruction due to benign tracheal stenosis were analyzed retrospectively. Predictive factors for complications were determined by statistical analysis. Results: There were 23 patients (57.5%) in the intubation group, 11 patients (27.5%) in the tracheostomy group, and 6 patients (15%) in the subsequent tracheostomy group. Preoperatively, rigid dilatation was applied to all patients between 2 and 6 sessions (median = 3). Tracheal resections were performed in all patients after rigid dilatations. The mean of the resected segment lengths is 32.1 ± 8.8 mm. There was a statistically significant difference between preoperative bronchoscopic measurements, preoperative tomography measurements, and intraoperative measurements of the stenosis segment (ꭓ2 (2) = 71,500; p < 0.001). The patients' mean follow-up period was 27.4 ± 21.7 months (3–84). Mortality due to tracheal surgery and major anastomotic complications were not observed. The minor anastomotic complication rate was 12.5%, the non-anastomotic complication rate was 17.5%. The effect of resection length and surgical experience were found to be statistically significant risk factors for anastomotic complications.Conclusions: Rigid dilatation does not provide significant palliation in complex stenosis. Bronchoscopic measurements give closer results than CT measurements in the preoperative estimation of resection length. The risk of anastomotic complications increases when the length of the resection increases and when the surgical experience is less. |
| first_indexed | 2024-12-22T20:05:01Z |
| format | Article |
| id | doaj.art-c1373a26a8294925a79b89a2ecdd99da |
| institution | Directory Open Access Journal |
| issn | 1015-9584 |
| language | English |
| last_indexed | 2024-12-22T20:05:01Z |
| publishDate | 2022-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Asian Journal of Surgery |
| spelling | doaj.art-c1373a26a8294925a79b89a2ecdd99da2022-12-21T18:14:10ZengElsevierAsian Journal of Surgery1015-95842022-01-01451213219Analysis of 40 patients who underwent tracheal resection due to benign complex tracheal stenosisMehmet Furkan Sahin0Muhammet Ali Beyoglu1Alkin Yazicioglu2Erdal Yekeler3Department of General Thoracic Surgery and Lung Transplantation, Ankara City Hospital, University of Health Sciences, Ankara, TurkeyCorresponding author. MH2 binası, B1 kati, E2 bolumu, Poliklinik 5, Universiteler Mahallesi 1604. Cadde No: fax: 9, Postal code 06800, Cankaya, Ankara, Turkey.; Department of General Thoracic Surgery and Lung Transplantation, Ankara City Hospital, University of Health Sciences, Ankara, TurkeyDepartment of General Thoracic Surgery and Lung Transplantation, Ankara City Hospital, University of Health Sciences, Ankara, TurkeyDepartment of General Thoracic Surgery and Lung Transplantation, Ankara City Hospital, University of Health Sciences, Ankara, TurkeyBackground: Benign tracheal stenosis is a common complication in patients followed up in intensive care units. We aimed to analyze the etiology, diagnostic approaches, treatment methods for benign tracheal stenosis, and the predicting factors for complications after tracheal resection for benign stenosis. Material-method: Forty patients who underwent tracheal resection reconstruction due to benign tracheal stenosis were analyzed retrospectively. Predictive factors for complications were determined by statistical analysis. Results: There were 23 patients (57.5%) in the intubation group, 11 patients (27.5%) in the tracheostomy group, and 6 patients (15%) in the subsequent tracheostomy group. Preoperatively, rigid dilatation was applied to all patients between 2 and 6 sessions (median = 3). Tracheal resections were performed in all patients after rigid dilatations. The mean of the resected segment lengths is 32.1 ± 8.8 mm. There was a statistically significant difference between preoperative bronchoscopic measurements, preoperative tomography measurements, and intraoperative measurements of the stenosis segment (ꭓ2 (2) = 71,500; p < 0.001). The patients' mean follow-up period was 27.4 ± 21.7 months (3–84). Mortality due to tracheal surgery and major anastomotic complications were not observed. The minor anastomotic complication rate was 12.5%, the non-anastomotic complication rate was 17.5%. The effect of resection length and surgical experience were found to be statistically significant risk factors for anastomotic complications.Conclusions: Rigid dilatation does not provide significant palliation in complex stenosis. Bronchoscopic measurements give closer results than CT measurements in the preoperative estimation of resection length. The risk of anastomotic complications increases when the length of the resection increases and when the surgical experience is less.http://www.sciencedirect.com/science/article/pii/S1015958421002578Tracheal stenosisTracheal resectionAnastomotic complications |
| spellingShingle | Mehmet Furkan Sahin Muhammet Ali Beyoglu Alkin Yazicioglu Erdal Yekeler Analysis of 40 patients who underwent tracheal resection due to benign complex tracheal stenosis Asian Journal of Surgery Tracheal stenosis Tracheal resection Anastomotic complications |
| title | Analysis of 40 patients who underwent tracheal resection due to benign complex tracheal stenosis |
| title_full | Analysis of 40 patients who underwent tracheal resection due to benign complex tracheal stenosis |
| title_fullStr | Analysis of 40 patients who underwent tracheal resection due to benign complex tracheal stenosis |
| title_full_unstemmed | Analysis of 40 patients who underwent tracheal resection due to benign complex tracheal stenosis |
| title_short | Analysis of 40 patients who underwent tracheal resection due to benign complex tracheal stenosis |
| title_sort | analysis of 40 patients who underwent tracheal resection due to benign complex tracheal stenosis |
| topic | Tracheal stenosis Tracheal resection Anastomotic complications |
| url | http://www.sciencedirect.com/science/article/pii/S1015958421002578 |
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