Maeda M, Nakamoto K
Department of Surgery, Kagawa Medical School.
Nihon Kyobu Shikkan Gakkai Zasshi. 1992 Jun;30(6):991-8.
In 251 patients of tracheobronchoplasty, the disease distribution and the indicative expansion were analysed. The largest series was lung cancer encountered in 49%, followed by thyroid cancer in 20%, posttracheostomy tracheal stenoses, primary tracheobronchial tumors, and tuberculosis in 7-8% respectively, and others in remaining 4%. In lung cancer, two way of operative modes have been tried, which were carinal resection extensively and sleeve or wedge segmentectomy limitedly. Laryngotracheal anastomosis increased applicable cases in thyroid cancer and posttracheostomy subglottic stenosis. Preoperative irradiation for adenoid cystic carcinoma increased the cases for operation. A new carinal reconstruction via the subaortic arch approach for tuberculous stenosis was successfully underwent. End-to-end anastomosis instead of partial suture was advisable in the early stage of traumatic bronchial rupture. Congenital airway malformation is a disease to be divised some operations which might furthermore increase operative modes. In summary, 38 operative modes have been experienced so far, and these might increase in number depending to diseases.
对251例气管支气管成形术患者的疾病分布及适应证扩展情况进行了分析。病例数最多的是肺癌，占49%，其次是甲状腺癌，占20%，气管切开术后气管狭窄、原发性气管支气管肿瘤和结核病分别占7% - 8%，其他占4%。对于肺癌，尝试了两种手术方式，即广泛的隆突切除和有限的袖状或楔形肺段切除。喉气管吻合术增加了甲状腺癌和气管切开术后声门下狭窄的可手术病例。对腺样囊性癌进行术前放疗增加了手术病例。一种通过主动脉弓下途径治疗结核性狭窄的新的隆突重建术成功实施。对于创伤性支气管破裂早期，建议采用端端吻合而非部分缝合。先天性气道畸形是一种有待设计更多手术方式的疾病。总之，目前已经历了38种手术方式，这些手术方式可能会根据疾病情况而增加。
