engleski

Benign tracheal stenosis and tracheal resection: Our experience

Tracheal resection is potentially curative method of therapy for benign tracheal stenosis. Purpose of this study is presentation of our experience with this kind of surgery. Tracheal resection is the challenge for anesthesiologist as it is for surgeon. There were 30 patients undergone tracheal resection for benign tracheal stenosis in last three years (from the December 15th 2004. to the December 15th 2007.) in our hospital. We present these patients with respect to their age, sex, causes of stenosis, fiberbronchoscopic finding before the surgery, ways of stenosis treatment before resection and respiratory and other complications of resection. There was no hospital mortality in this group of patients. The benign tracheal stenosis is usually iatrogenic and it is described as the complication of endotracheal intubation and tracheotomy (including the percutaneous tracheotomy). Most frequent cause of tracheal stenosis in our patients was endotracheal intubation. Tracheal resection was not the ultimate way of treatment for tracheal stenosis in seven of our patients: five of them later undergone some kind of endoscopic treatment, one of them needed reintubation as the only treatment (paresis of vocal cords) and one undergone reintubation followed with retracheotomy. The most frequent complication of tracheal resection was vocal cord paresis. Tracheal resection is still the therapy for benign tracheal stenosis with acceptable risk in selected patients.

tracheal stenosis; tracheal resection

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