대한기관식도과학회지 (Korean Journal of Bronchoesophagology)
- 제1권1호
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- Pages.94-100
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- 1995
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- 1226-0916(pISSN)
경부기관절제 및 단단문합술 11례에 대한 분석
Resection of Cervical Trachea and Ene-to-end Anastomosis : A Review of 11 Cases
초록
Despite improvement in respiratory care, including widespread use of low pressure and high volume cuffed tubes, tracheal stenosis remains a feared complication of prolonged intubation and tracheostomy. In such patients, other coexisting problems such as vocal cord paralysis, tracheoesophageal fistula, noncontiguous stenotic segments and laryngeal stenosis may occasionly be encountered. Therefore tracheal stenosis still presents a significant management problem, despite recent endoscopic advances and surgical techniques. Between 1991 and 1994, authors preformed tracheal resection with end-to-end anastomosis on 11 patients with tracheal stenosis. The total success rate (asymptomatic patients with patent airway) was 72.7% and there were no serious complication. This report reviews our experience about this procedure and surgical results. And it investigates associated factors for successful results.