Reconstruction of Tracheobronchial Stenosis due to Endobronchial Tuberculosis - A case report -

결핵성 기관 및 주기관지 협착에 대한 재건술 - 1예 보고 -

  • Do, Hyung-Dong (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Yeungnam University) ;
  • Lee, Jung-Cheul (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Yeungnam University) ;
  • Baek, Jong-Hyun (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Yeungnam University) ;
  • Lee, Jang-Hoon (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Yeungnam University)
  • 도형동 (영남대학교 의과대학 흉부외과학교실) ;
  • 이정철 (영남대학교 의과대학 흉부외과학교실) ;
  • 백종현 (영남대학교 의과대학 흉부외과학교실) ;
  • 이장훈 (영남대학교 의과대학 흉부외과학교실)
  • Published : 2009.10.05

Abstract

A 20 year old woman had developed stenosis at the lower part of the trachea, right main bronchus, and right upper lobe bronchus as a complication of endobronchial tuberculosis. The patient had complained of severe dyspnea. Tracheobronchial stenosis was so extensive that we did reconstruction of the trachea and right bronchus with resection of the lower trachea and right main bronchus and right upper lobectomy. She has been doing well without any respiratory symptoms or complications.

기관지내 결핵을 앓아오던 20세 여자 환자가 기관하부와 우측 수기관지, 우측 상엽 기관지 협착이 발생하였다. 이로 인하여 환자는 심한 호흡곤란을 호소하였다. 협착이 광범위하여 하부 기관, 우측 주기관지 및 우상엽 절제술 후 기관 및 주기판지 재건슬을 시행하였다. 4년이 지난 현재까지 별다른 합병증 없이 추적 관찰 중이다.

Keywords

References

  1. Grillo HC. Surgical anatomy of the trachea and techniques of resection and reconstruction. In: Shield TW, LoCicero III J, Ponn RB, Rusch VW. General thoracic surgery. 6th ed. Philadelphia: Lippincott Williams & Wilkins. 2005;1036-46
  2. Keshavjee S, Pearson FG. Tracheal resection. In: Pearson FG, Cooper JD, Deslauriers J, et al. Thoracic surgery. 2nd ed. Philadelphia: Churchill Livingstone. 2002;405-15
  3. Mathisen DJ, Grillo HC, Gaissert HA. Carinal resection. In: Pearson FG, Cooper JD, Deslauriers J, et al. Thoracic surgery. 2nd ed. Philadelphia: Churchill Livingstone. 2002; 415-25
  4. Grillo HC, Dignan EF, Miura T. Extensive resection and reconstruction of mediastinal trachea without prosthesis or graft: an anatomical study in man. J Thorac Cardiovasc Surg 1964;48:741-9
  5. Mulliken JB, Grillo HC. The limits of tracheal resection with primary anastomosis. J Thorac Cardiovasc Surg 1968;55: 418-21
  6. McKeown PP, Tsuboi H, Togo T, Thomas R, Tuck R, Gordon D. Growh of tracheal anastomoses: advantage of absorbable interrupted sutures. Ann Thorac Surg 1991;51: 636-41
  7. Friedman E, Perez-Atayde AR, Silvera M, Jonas RA. Growth of tracheal anastomoses in lambs. Comparison of PDS and Vicryl suture material and interrupted and continuous techniques. J Thorac Cardiovasc Surg 1990;100:188-93