Source: Annual Congress 2002 - Chest trauma, airways and miscellaneous
Disease area: Thoracic oncology

Abstract

Since 1987 to 2002 we operated for tracheal disease 35 patients: 10 tracheal resections with TT anastomose for neoplastic or inflammatory diseases; 14 tracheal reconstructions for traumatic lesions; 11 tracheal sleeve pneumonectomies for cancer.
In the group of the tracheal resections, 5 cases were extended to larynx.
3 patients were trated for neoplastic disease: 1 died 7 years later for diffused pulmonary metastases; 1 is free from disease at over 5 years; 1 is well at 3 years.
Into the traumatic group we had 6 complete laryngo-tracheal sections and 8 post-intubation or percutaneous dilative tracheostomy lesions.
1 patient with an associated aesophageal perforation died.
In 35 cases: no intraoperative deaths, 1 partial leak of the anastomose successfully treated with Montgomery's T tube, 1 death in a TT resection associated with aesophageal reconstruction performed in emergency for yatrogenic tracheo-esofageal perforation, 2 deaths in the right tracheal sleeve pneumonectomies group due to anastomotic dehiscence.
Of the tracheal sleeve pneumonectomies 10 were right and 1 was left (operation in 2 times) and survival results are: 7 died within 1 year for recurrence of neoplastic illness, 2 are relatively well at 8 and 12 years.
Long time results were: of 7 inflammatory disease 7 survivals, of 14 neoplastic disease 4 survivals, of 14 traumatic disease 13 survivals.
In conclusion tracheal sleeve pneumonectomy for neoplastic pathology is justified only in selected patients.
Tracheal resections for neoplastic disease are the most effective treatment for a long survival rate.
Sometimes resection and anastomose of the trachea for trauma, benign tumors or post intubation stenosis can be technically demanding but results are generally very good.

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Citations should be made in the following way:
P. Bovolato, M. Benvenuti, G. Botticini, D. Benetti, M. Mondini, G. L. Pariscenti, G. Mombelloni (Brescia, Italy). Surgical treatment of tracheal diseases. Eur Respir J 2002; 20: Suppl. 38, 978

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