Resektionen der Trachea und großen Bronchien — Indikationen, Methodik, Ergebnisse

Huzly, A

doi:10.1055/s-0028-1099001

Cited by 2 publications

(3 citation statements)

References 2 publications

(2 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The best prostheses have been made of Marlex mesh covered by the patients' pericardium, and tubes of dacronsilastic [13][14][15][16][17]. The best prostheses have been made of Marlex mesh covered by the patients' pericardium, and tubes of dacronsilastic [13][14][15][16][17].…”

Section: Surgery Of the Tracheamentioning

confidence: 99%

“…Much attention has been given to developing a prosthesis for replacing the resected trachea, but a satisfactory prosthesis does not yet exist. The best prostheses have been made of Marlex mesh covered by the patients' pericardium, and tubes of dacronsilastic [13][14][15][16][17]. It is almost always possible to perform a primary anastomosis without using a prosthesis, and these devices should be used only in desperation.…”

Section: Surgery Of the Tracheamentioning

confidence: 99%

See 1 more Smart Citation

Surgery of the trachea

Perel'man¹,

Koroleva²

1980

World j. surg.

View full text Add to dashboard Cite

Experience with surgical treatment of 164 patients with various diseases of the trachea at the All-Union Institute of Clinical and Experimental Surgery in Moscow since 1963 is summarized. The main diagnostic methods used in tracheal diseases were tracheography and tracheoscopy with biopsy. Operations were performed for malformation, trauma, exflammatory disease, benign and malignant tumors, nontumoral stenoses, and esophagotracheal fistula. A bypass respiration system was used in the majority of patients after tracheal transection. Hyperbaric oxygenation added to the bypass respiration system made it possible to interrupt lung ventilation during operations on the trachea for long periods.The best operative approach to the thoracic trachea was a partial sternotomy and posterior thoracotomy. The standard approach to the tracheal bifurcation was a posterior right thoracotomy.The various operations performed on the trachea included sleeve resection with end-to-end anastomosis, resection of the tracheal bifurcation, window resection, tumoral incision in the opened trachea, plastic repair of esophagotracheal fistula, and strengthening of the membranous trachea. Six variations of resection of the tracheal bifurcation were performed. In cases of sleeve resection, operative risk was minimized by suturing the left main bronchial stump closed, leaving the left lung in a state of atelectasis.Of the 164 patients who underwent operation, 138 were discharged from the hospital and 26 (16%),died in the postoperative period. Bleeding from the brachiocephalic artery, pneumonia, thromboembolism of the pulmonary artery, and anastomotic leak were the causes of death. Op-Translated by Jerome Katsell, Ph.D.

show abstract

Section: Surgery Of the Tracheamentioning

confidence: 99%

Section: Surgery Of the Tracheamentioning

confidence: 99%

Surgery of the trachea

Perel'man¹,

Koroleva²

1980

World j. surg.

View full text Add to dashboard Cite

show abstract

“…Ausfiihrliche Zusammenstellung findet sich bei Huzly (1972) und bei Neville (1976 Arrosionsblutung am Truncus brachiocephalicus ist wohl auch zu bedenken, dab die Patientin pr~operativ einer bei kurativen Gesichtspunkten vorgenommenen Strahlentherapie unterzogen worden war. Fiir die Rekonstruktion der Trachea gibt es wohl in der Vergangenheit kaum ein gewebseigenes oder fremdes Material, das entweder im Experiment oder unter meist notfallm~iBiger Situation am Menschen nicht zur Anwendung kam.…”

Section: Tracheaersatz Am Menschenunclassified

73. Tracheaersatz am Menschen, kombinierte Eingriffe an Bronchien und Gef��en der Lunge

Vogt-Moykopf

Lüllig

Toomes

et al. 1980

Langenbecks Arch Chiv

View full text Add to dashboard Cite

In 8 years we performed 360 plastic procedures on the bronchial tree and the pulmonary vessels: 159 patients underwent plastic resection of the pulmonary vessels and 72 patients, a concomitant sleeve resection of the bronchus. Some of the patients who underwent plastic resection of both bronchial tree and pulmonary vessels died ofa bronchovascular fistula. When hemoptysis occurs postoperatively after this type of resection, we therefore suggest performing the secondary pneumonectomy immediately. In 4 patients with malignant tracheal tumors and severe hypoxia we used the Neville prosthesis for airway reconstruction. There were two early deaths, one from erosion of the innominate artery. In the remaining 2 patients, good palliation was achieved.Zusammenfassung. 360 plastische Operationen am Bronchial-und Lungengef'~6baum wurden in 8 Jahren vorgenommen. 159 Eingriffe an den GeffiBen haupts~ichlich als Tangential-oder Keilresektionen, und davon waren 72 kombiniert mit Bronchusanastomosen. Bei kombinierter Bronchus-und Gefii6plastik traten im Einzelfall letale Arrosionsblutungen durch Mikroabscedierung auf, ausgehend vonder Bronchusanastomose. Deswegen sollte bei postoperativen Hfimoptysen aus vitaler Indikation sofort die sekund~ire Pneumonektomie durchgeffihrt werden. In 4 malignen ausgedehnten Trachealstenosen bei drohendem Ersticken, wurde notfallm~i6ig eine Kunststoffprothese nach Neville eingesetzt. Uber eigene Erfahrungen mit dieser Tracheal-und Bifurkationsprothese wird berichtet. Schliisselwiirter: Trachealprothese -Trachealstenose -Bronchialcarcinom -Plastische Resektionsverfahren.

show abstract

Resektionen der Trachea und großen Bronchien — Indikationen, Methodik, Ergebnisse

Cited by 2 publications

References 2 publications

Surgery of the trachea

Surgery of the trachea

73. Tracheaersatz am Menschen, kombinierte Eingriffe an Bronchien und Gef��en der Lunge

Contact Info

Product

Resources

About