Linked Life Data

8179373

Source:http://linkedlifedata.com/resource/pubmed/id/8179373

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
1994-6-8
pubmed:abstractText
Tracheal resection and primary anastomosis can be performed for the management of congenital, traumatic, iatrogenic, and neoplastic etiologies of tracheal stenosis. During a 19-year period, we performed 45 tracheal resections on 38 patients with low operative mortality (7.9%) and morbidity. One patients had congenital tracheal stenosis (group 1); 4 patients had stenosis resulting from traumatic lesions (group 2); 18 patients had stenosis caused by tracheostomy or endotracheal tubes (group 3); and 15 patients had stenosis caused by a variety of neoplastic lesions (nine primary and six secondary) (group 4). Preoperative evaluation and surgical and anesthesia management are described. Eight tracheal stents were used (three Neville prostheses and five Montgomery T tubes). Disastrous results occurred with the Neville prosthesis, but acceptable results were obtained when the Montgomery T tube was used. There were several "lessons learned" during the evolution of this series. Chest roentgenograms are not useful. Tracheal tomography and computed tomography are extremely informative in evaluation of iatrogenic and neoplastic lesions. Proper mobilization allows primary anastomosis after almost all resections. Excellent results were obtained with iatrogenic lesions. Increased mortality and morbidity occur in patients undergoing resection for neoplastic lesions; however, 5-year survival is good, and results are gratifying.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:status
MEDLINE
pubmed:month
May
pubmed:issn
0003-4975
pubmed:author
pubmed:issnType
Print
pubmed:volume
57
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1120-4; discussion 1124-5
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed:year
1994
pubmed:articleTitle
Tracheal resections: lessons learned.
pubmed:affiliation
Division of Cardiothoracic Surgery, Joseph B. Whitehead Department of Surgery, Emory University School of Medicine, Atlanta, Georgia.
pubmed:publicationType
Journal Article