[Prevention and treatment of surgical complications of tracheobronchoplastic procedures. An analysis of 22 cases].

This paper reported the surgical complications of various tracheobronchoplastic procedures in 22 cases between May 1979 to March 1994. The incidence of postoperative complication was 14.5%. The mortality rate was 1.3%. Among them, complications of the respiratory system occurred in 9 cases (41%), cardiovascular system in 4(18%), digestive system in 2(9%), chest incision infection and early recurrence of carcinoma in 1 each (5%) and those due to surgical skill in 5(23%) respectively. Tracheostomy should be done with ventilatory support should be given if early respiratory failure occurred. Particular attention should be paid to prevent fatal complications from detachment of embolus in the pulmonary vein or bronchus. Because of the surgical complications, indications of tracheobronchoplastic procedures for lung cancer should be strictly handled.