Document Detail


Bronchoscopic evaluation of bronchial healing after carinal reconstruction.
MedLine Citation:
PMID:  8782298     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Bronchoscopic evaluation of the anastomoses created by carinal reconstruction was carried out over a period of 7 weeks in 6 patients who had undergone carinal and lobar resections for lung cancer, and 4 who had undergone carinal resection without pulmonary resection for carinal tumors. The techniques of reconstruction included end-to-end and end-to-side tracheobronchial anastomoses with omental, fat, or pleural wrapping. Bronchial healing at the anastomosis was evaluated using a bronchial healing score (BHS) based on the bronchoscopic findings. The degree of healing was scored on a 0 to 4 scale, with 0 indicating normal mucosa; 1, edema or reddening; 2, mucosal color changes; 3, ulceration; and 4, diffuse ulceration. One postoperative death occurred as a result of anastomotic leakage. The remaining nine patients were divided into three groups according to the bronchoscopic findings on postoperative day (POD) 7: group A (n = 3) had mild ischemia at the anastomosis, group B (n = 3) had moderate ischemia at the anastomosis, and group C (n = 3) had severe ischemia at the anastomosis. Bronchial healing of the anastomosis improved over a 7-week period in groups A and B, but was delayed in group C. These findings led to the conclusion that wound healing of the anastomosis following carinal reconstruction requires more than 7 weeks due to the consequent devascularization resulting from the extended bronchial resection and lymph node dissection.
Authors:
S Akamine; K Kawahara; T Takahashi; A Nakamura; S Yamamoto; H Ayabe; M Tomita
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Surgery today     Volume:  26     ISSN:  0941-1291     ISO Abbreviation:  Surg. Today     Publication Date:  1996  
Date Detail:
Created Date:  1996-10-25     Completed Date:  1996-10-25     Revised Date:  2006-08-03    
Medline Journal Info:
Nlm Unique ID:  9204360     Medline TA:  Surg Today     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  407-12     Citation Subset:  IM    
Affiliation:
First Department of Surgery, Nagasaki University School of Medicine, Japan.
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MeSH Terms
Descriptor/Qualifier:
Aged
Bronchi / physiology,  surgery*
Bronchoscopy
Carcinoma, Adenoid Cystic / pathology,  surgery
Carcinoma, Bronchogenic / pathology,  surgery*
Carcinoma, Squamous Cell / pathology,  surgery
Female
Humans
Lung Neoplasms / pathology,  surgery*
Male
Middle Aged
Neoplasm Invasiveness
Neoplasm Metastasis
Tracheal Neoplasms / pathology,  surgery*
Wound Healing*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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