Rusakov M A, Parshin V D, Simonova M S, Kozhevnikov V A, Parshin A V
Sechenov First Moscow State Medical University, Moscow, Russia.
Khirurgiia (Mosk). 2022(11):5-12. doi: 10.17116/hirurgia20221115.
Tracheal and bronchial stenting is actively used for cancer and benign airway stenosis. This procedure is common in patients with advanced cancer. Stenting ensures breathing and availability of early chemo- and radiotherapy without the need for tracheostomy. This procedure is less common in patients with benign tracheal stenosis. In this case, isolated tracheal or bronchial stenting is performed. Complex tracheobronchial stenosis is extremely rare and creates significant difficulties. We present 3 cases of tracheobronchial stenting for cicatricial stenosis. In each case, stenosis was dilated with a rigid bronchoscope or balloon dilatation. Then, a silicone stent was installed. Resection with an appropriate anastomosis was contraindicated due to advanced pathological process. Thus stenting was regarded as a palliative operation. The follow-up periods were 9 months, 3 and 10 years. Each patient underwent inhalation therapy, endoscopy and repeated stenting if necessary.
气管和支气管支架置入术被积极应用于癌症和良性气道狭窄。该手术在晚期癌症患者中很常见。支架置入可确保呼吸,并能在无需气管造口术的情况下进行早期化疗和放疗。此手术在良性气管狭窄患者中不太常见。在这种情况下,需进行单独的气管或支气管支架置入术。复杂的气管支气管狭窄极为罕见,且会带来重大困难。我们呈现了3例因瘢痕性狭窄而行气管支气管支架置入术的病例。在每例病例中,狭窄均通过硬质支气管镜或球囊扩张进行扩张。然后,安装硅酮支架。由于病情进展,进行适当吻合的切除术存在禁忌。因此,支架置入被视为一种姑息性手术。随访期分别为9个月、3年和10年。每位患者均接受了吸入治疗、内镜检查,并在必要时进行了重复支架置入术。