Korean J Thorac Cardiovasc Surg.  2005 Sep;38(9):622-626.

Reconstruction of Mainstem Bronchus Obstructed by Endobronchial Tuberculosis

• Kim SW
• Kim J
• Shim YM
• Kim K
• Choi YS
• I H
• Kim H
• Chang JW

Abstract

BACKGROUND: Non-invasive interventional therapy has been performed for main bronchial obstruction by endobronchial tuberculosis because of the risk of main bronchial reconstruction regardless of the pulmonary function. But, effects of the interventional therapy are attacked by arguments. This study was aimed at interpreting the risk and effectiveness of bronchoplasty for benign bronchial stenosis over the last ten years in our hospital by reviewing the results based on clinical progression. MATERIAL AND METHOD: We retrospectively reviewed the clinical records and out-patient medical records including 21 consecutive patients who underwent main bronchial reconstruction for obstruction by endobronchial tuberculosis. All of them had past medical history of anti-tuberculosis medication. They were preoperatively evaluated by bronchoscopy and chest computed tomography. RESULT: There were no incidences of postoperative mortality and significant morbidity. There were 2 cases of retained secretions but these problems were resolved by therapeutic bronchoscopy or intubation. All of the patients are still alive without obstructive airway problem.
CONCLUSION
Bronchoplasty should be considered as one of the primary treatment modalities, if it is anatomically feasible.

Keyword

Bronchial stenosis; Bronchoplasty; Bronchial disease

MeSH Terms

Bronchi*
Bronchial Diseases
Bronchoscopy
Constriction, Pathologic
Humans
Incidence
Intubation
Medical Records
Mortality
Outpatients
Retrospective Studies
Thorax
Tuberculosis*