[Bronchoplasty surgery].

Bronchoplastic operations are analysed in 114 patients: 76 (66.67%) with bronchial carcinoma, 33 (28.94%) bronchial adenoma, 4 (3.51%) bronchial rupture or stenosis and bronchial hondroma in one case. Sleeve resection was done in 99 (86.84%) and other kind of bronchoplastic operations in 15 (13.16%). Preoperative diagnostic procedures were focused on: clinical course and symptomatology, exact location of bronchial lesion, type of tumor, mediastinal lymph nodes, bronchial three distal from the lesion and respiratory lung tests. Intraoperatively attention was toward to the evidence of peribronchial growth of tumor, mediastinal lymph nodes and lung tissue. Early postoperative course was without complications in 85 (75.89%), with complications in 26 (23.21%) but two patients died. Incomplete reexpansion or athelectasis of the entire lung or lobe but easily treated, were the commonest complications. There was no evidence of bronchial fistula or bronchial sutura at the level of submucosal growth of tumor. In certain indications bronchoplastic operations are good operative choice for surgical treatment of bronchial tumors and traumatic bronchial rupture or its sequelas-stenosis. For malignant tumors, late results, are, after this kind of operations, equivalent to those achieved after classic resections and they do not depend of the kind of surgical procedures but correlate to the nature of the tumor. For benign and slowly growing malignant tumors late results after these operations are excellent.