Five cases of endobronchial lesions with pulmonary tuberculosis have undergone sleeve lobectomy since 1955 in our Department. Patients were all women, aged 23 to 54 years old, and all had the past history under treatment of pulmonary tuberculosis from 3 years to 27 years before the operation. One case with stenosis of right main bronchus complained of dyspnea preoperatively. The type of bronchial reconstruction included 2 cases of left upper lobectomy, 2 of right upper lobectomy and 1 of right middle and lower lobectomy. Length of bronchial transection was up to 3.5 cm. Anastomoses of the transected bronchus were performed using silk or tissue-absorbable suture, piercing whole layer of the bronchial wall. Postoperative pulmonary complications including bronchial secretion and/or atelectasis were frequently encountered in the early postoperative period and they were treated with bronchoscopic aspiration. Bronchial anastomoses were patent when observed by bronchoscopy from 3 to 5 weeks after the operation. Cicatrical bronchial stenosis due to tuberculous lesion can be resected and reanastomosed with or without lobectomy even when the anastomotic site partially includes the scar, which was proved to be possible as experienced in our 5th case with the lesion from carina to intermediate bronchus.
|Number of pages||7|
|Journal||Science Reports of the Research Institutes Tohoku University - Series C Medicine|
|Publication status||Published - 1982 Dec 1|
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