ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Analysis of 56 patients who underwent tracheal surgery
Mehmet Sırmalı1, Sadi Kaya 2, İrfan Taştepe 2, Hasan Türüt 3, Erkmen Gülhan2, Suat Gezer2, Salih Topçu4, Güven Çetin5
1Süleyman Demirel Üniversitesi Tıp Fakültesi, Göğüs Cerrahisi Anabilim Dalı, Isparta
2Atatürk Göğüs Hastalıkları ve Göğüs Cerrahisi Eğitim ve Araştırma Hastanesi, Göğüs Cerrahisi Kliniği, Ankara
3Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi, Göğüs Cerrahisi Anabilim Dalı, Kahramanmaraş
4Kocaeli Üniversitesi Tıp Fakültesi, Göğüs Cerrahisi Anabilim Dalı, Kocaeli
5Özel Bayındır Hastanesi, Göğüs Cerrahisi Bölümü, Ankara
Background: Tracheal surgery developed later than the other fields of thoracic surgery due to its relatively uncommon occurrence and also due to currently developed techniques regarding the establishment of safe airway and anesthetic support which are the prerequisites for tracheal surgery. Herein, we present our experience in tracheal surgery.

Methods: A total of 56 patients (35 males 21 females; mean age 39 years; range 7 to 64 years) who underwent tracheal surgery between January 1976 and January 2006 were retrospectively evaluated. Patients were analyzed according to age, gender, primary disease, symptoms, surgical procedures and follow-up. Of the 56 patients, 21 had primary tracheal tumors, six had benign tracheal tumors, 24 had postintubation tracheal stenosis and five had posttraumatic tracheal injury. All of the patients were evaluated with rigid bronchoscopy after initial diagnosis.

Results: Dyspnea, tachypnea and cough were the most common symptoms of presentation. The surgical procedures performed were; primary tracheal repair, tracheal resection and end-to-end anastomosis, wedge resection and primary repair, carino-broncho-tracheal resection and reconstruction, and inferior tracheostomy. Postoperative morbidity and mortality rates were 8.9% and 1.7% respectively.

Conclusion: Although tracheal surgery is challenging because of anatomic and technical factors, it is important that, it can be curative in benign lesions and can give satisfactory results with additional radiation therapy. Results of tracheal surgery performed by an experienced surgical team in appropriate centers is rather successful.

Keywords : Tracheal neoplasms/surgery; tracheal stenosis/etiology
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