Transverse Bronchoplasty of the Membranous Wall After Resection of an Endobronchial Hamartoma

Tomos, Periklis; Karaiskos, Theodoros; Lahanas, Elias; Paulopoulos, Dionysios; Papahristou, Dimitrios; Stauroulias, Antonios; Papachristodoulou, A

doi:10.1016/j.athoracsur.2006.03.113

Cited by 5 publications

(3 citation statements)

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“…But in some instances, surgery is inevitable mainly because of irreversible lung damage, especially difficulty in differentiating benign and malignant lesions. Surgical treatments may include sleeve resection with bronchoplasty, lobectomy, and even pneumonectomy in complicated cases, while normal lung tissues should be reserved as much as possible [15,16,17]. In this study, many cases accompanied with irreversible lung damage, more importantly, some of them were highly suspicious of malignancy, therefore lobectomy take a high proportion of treatment in this study.…”

Section: Discussionmentioning

confidence: 79%

Clinical Features and Management of Endobronchial Hamartoma

Bian

Tang

Wang

et al. 2019

Preprint

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Background: Endobronchial hamartoma(EH) is a benign endobronchial tumor with low incidence. The objective of this study was to explore the clinical features and management of patients with endobronchial hamartoma, improve the diagnosis and treatment.Methods: Retrospective study on the clinical data of 13 cases of endobronchial hamartoma confirmed by pathology in The First Affiliated Hospital of Soochow University from July 2000 to October 2019.Results: The 13 patients, 11 males and 2 females, aged 48-74 years, mean(63±9)years, were diagnosed with EH. Three of the 13 patients with EH are asymptomatic, others had atypical symptoms. CT showed obstructive pneumonia in 10 of the 13 patients. Among the 13 patients, visible endobronchial tumor were present in 7 patients on CT, and only 3 cases were diagnosed with endobronchial tumor by radiologists. All cases received bronchoscopy. Seven patients were treated via flexible bronchoscopy, using electrocautery, argon plasma coagulation(APC) and cryotherapy. Six patients received pulmonary lobectomy via thoracotomy. Follow-up CT scan was performed in 7 of 13 patients(mean 47 months, range 17-69 months), which revealed no recurrence in all 7 patients.Conclusions: In clinical work, EH sometimes may be neglected in CT images. Bronchoscopy plays an important role in diagnosis. Pathological study is required to confirm the diagnosis. The management of endobronchial hamartoma should be individualized, bronchoscopic treatment is the first choice for EH. But in some instances, surgery should be considered.

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Section: Discussionmentioning

confidence: 79%

Clinical Features and Management of Endobronchial Hamartoma

Bian

Tang

Wang

et al. 2019

Preprint

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“…a benign lesion of the bronchial airway, as endobronchial hamartoma, it is advisable a lung tissue- sparing operation performing sleeve or wedge bronchial resections without parenchymal resection. For the bronchoplastic procedures, however, it is needed to follow some principles: tumor confined within the bronchial cartilage; small basis of implant of the lesion and normal bronchial tree at its periphery [ [9] , [10] , [11] ]. Although many reports suggest that bronchoscopic treatments or parenchyma-sparing procedures are a good therapeutic choice for EHs, in some instances, as chronic post-obstructive lung injury or extension of tumor outside the cartilage, a more invasive surgical resection is recommended [ [12] , [13] , [14] ].…”

Section: Discussionmentioning

confidence: 99%

Conversion to thoracotomy during VATS segmentectomy for treatment of symptomatic endobronchial hamartoma

Amore

Imitazione

Palma

et al. 2018

International Journal of Surgery Case Reports

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“…In the 6 cases in the Supplementary Table (9)(10)(11)(12)(13), the authors performed wedge resection of the trachea or bronchus to treat benign or low-grade bronchial tumors. Wedge resection significantly reduces the difficulty and risk of surgery while preserving the lung tissue and ensuring surgical results.…”

Section: Indicationmentioning

confidence: 99%

Tracheal or bronchial wedge resection: Case report

Jiao

Tang²,

Wang³

2023

Front. Surg.

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BackgroundPrimary tracheal or bronchial tumors are relatively uncommon, whether benign or malignant. Sleeve resection is an excellent surgical technique for most primary tracheal or bronchial tumors. However, depending on the size and location of the tumor, thoracoscopic wedge resection of trachea or bronchus can be performed with the assistance of a fiberoptic bronchoscope for some malignant and benign tumors.Case DescriptionWe performed a single incision video-assisted bronchial wedge resection in a patient with a left main bronchial hamartoma with a size of 7 × 5 × 5 mm. The patient was discharged from the hospital six days after the surgery with no postoperative complications. There was no obvious discomfort during the 6-month postoperative follow-up, and the reexamination of fiberoptic bronchoscopy revealed no evident stenosis of the incision.ConclusionsThrough the detailed case study and literature review, we believe that tracheal or bronchial wedge resection is a significantly superior technique under the appropriate conditions. Video-assisted thoracoscopic wedge resection of trachea or bronchus should be a new and excellent development direction of minimally invasive bronchial surgery.

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Transverse Bronchoplasty of the Membranous Wall After Resection of an Endobronchial Hamartoma

Cited by 5 publications

References 3 publications

Clinical Features and Management of Endobronchial Hamartoma

Clinical Features and Management of Endobronchial Hamartoma

Conversion to thoracotomy during VATS segmentectomy for treatment of symptomatic endobronchial hamartoma

Tracheal or bronchial wedge resection: Case report

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