nach oben

Erschienen in:

01.12.2023 | Original Article

Tracheal reconstruction surgery for congenital tracheal stenosis

verfasst von: Nguyen Tran Viet Tanh, Pham Ngoc Thach, Le Si Phong, Le Thi Duyen Ngoc, Phan Thao Nguyen, Ho Van Anh Dung, Truong Anh Mau, Vu Truong Nhan

Erschienen in: Pediatric Surgery International | Ausgabe 1/2023

Einloggen, um Zugang zu erhalten

Abstract

Purpose

Congenital tracheal stenosis is a rare but dangerous disease. Reconstructive tracheal surgery is a life-saving treatment but also a challenging procedure. This study aims to evaluate the outcomes of tracheal reconstruction surgery.

Methods

A prospective cohort study was conducted with all the records of congenital tracheal stenosis which had been managed by tracheal reconstruction surgery at Children’s Hospital 2 Ho Chi Minh City from August 2013 to August 2022.

Results

Sixty-seven cases, who underwent slide tracheoplasty, were included in our study. Mean age was 7.6 months (25 days − 8 years). Common congenital-associated lesion was left pulmonary artery sling, accounting for 65.7% of cases. Bronchial stenosis was found in 22.4% patients. Emergency surgery was performed in eight cases. The survival rate in this review was 86.6%. Nine patients died in which four of nine cases (44.4%) were emergency surgery. The recurrent stenosis rate was 8.9%, only two cases needed reoperation in which one died and one recovered uneventfully. The outcomes of surgery were good in 53 cases (79.1%).

Conclusion

Tracheal reconstruction surgery with slide tracheoplasty technique is safe and versatile technique which is feasible in every case of congenital tracheal stenosis. Mortality was associated with severe cases which required emergency surgery.

Herrera P, Caldarone C, Forte V, Campisi P et al (2007) The current state of congenital tracheal stenosis. Pediatr Surg Int 23:1033–1044. https://doi.org/10.1007/s00383-007-1945-3CrossRefPubMed

Grillo HC (2004) Congenital and acquired tracheal lesions in children. In: Grillo HC (ed) Surgery of the Trachea and Bronchi. BC Decker, Hamilton, London, pp 173–205

Hofferberth SC, Watters K, Rahbar R, Fynn-Thompson F (2015) Management of congenital tracheal stenosis. Pediatrics 136:e660-669. https://doi.org/10.1542/peds.2014-3931CrossRefPubMed

Manning PB, Rutter MJ, Lisec A, Gupta R et al (2011) One slide fits all: the versatility of slide tracheoplasty with cardiopulmonary bypass support for airway reconstruction in children. J Thorac Cardiovasc Surg 141:155–161. https://doi.org/10.1016/j.jtcvs.2010.08.060CrossRefPubMed

Speggiorin S, Torre M, Roebuck DJ, McLaren CA et al (2012) A new morphologic classification of congenital tracheobronchial stenosis. Ann Thorac Surg 93:958–961. https://doi.org/10.1016/j.athoracsur.2011.12.019CrossRefPubMed

Bryant LR (1964) Replacement of tracheobronchial defects with autogenous pericardium. J Thorac Cardiovasc Surg 48:733–740CrossRefPubMed

Cheng AT, Backer CL, Holinger LD, Dunham ME et al (1997) Histopathologic changes after pericardial patch tracheoplasty. Arch Otolaryngol Head Neck Surg 123:1069–1072. https://doi.org/10.1001/archotol.1997.01900100043006CrossRefPubMed

Backer CL, Mavroudis C, Gerber ME, Holinger LD (2001) Tracheal surgery in children: an 18-year review of four techniques. Eur J Cardiothorac Surg 19:777–784. https://doi.org/10.1016/s1010-7940(01)00736-9CrossRefPubMed

Tsang V, Murday A, Gillbe C, Goldstraw P (1989) Slide tracheoplasty for congenital funnel-shaped tracheal stenosis. Ann Thorac Surg 48:632–635. https://doi.org/10.1016/0003-4975(89)90777-7CrossRefPubMed

10.

Grillo HC (1994) Slide tracheoplasty for long-segment congenital tracheal stenosis. Ann Thorac Surg 58:613–619. https://doi.org/10.1016/0003-4975(94)90714-5. (discussion 619–621)CrossRefPubMed

11.

Speggiorin S, Gilbert TW, Broadhead M, Roebuck DJ et al (2012) Do tracheas grow after slide tracheoplasty? Ann Thorac Surg 93:1083–1086. https://doi.org/10.1016/j.athoracsur.2011.12.075CrossRefPubMed

12.

Butler CR, Speggiorin S, Rijnberg FM, Roebuck DJ et al (2014) Outcomes of slide tracheoplasty in 101 children: a 17-year single-center experience. J Thorac Cardiovasc Surg 147:1783–1789. https://doi.org/10.1016/j.jtcvs.2014.02.069CrossRefPubMed

13.

Wu Y, Wang G, Dai J, Li H et al (2022) Slide tracheoplasty for congenital tracheal stenosis repair: a systematic review and meta-analysis. Laryngoscope 132:1532–1541. https://doi.org/10.1002/lary.29771CrossRefPubMed

14.

Le Bret E, Garabédian EN, Teissier N, Belli E et al (2006) Slide tracheobronchoplasty in an infant. J Thorac Cardiovasc Surg 132:181–183. https://doi.org/10.1016/j.jtcvs.2006.01.054CrossRefPubMed

15.

van Son JA, Hambsch J, Haas GS, Schneider P et al (1999) Pulmonary artery sling: reimplantation versus antetracheal translocation. Ann Thorac Surg 68:989–994. https://doi.org/10.1016/s0003-4975(99)00677-3CrossRefPubMed

Titel: Tracheal reconstruction surgery for congenital tracheal stenosis
verfasst von: Nguyen Tran Viet Tanh
Pham Ngoc Thach
Le Si Phong
Le Thi Duyen Ngoc
Phan Thao Nguyen
Ho Van Anh Dung
Truong Anh Mau
Vu Truong Nhan
Publikationsdatum: 01.12.2023
Verlag: Springer Berlin Heidelberg
Erschienen in: Pediatric Surgery International / Ausgabe 1/2023
Print ISSN: 0179-0358
Elektronische ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-023-05418-w

Update Pädiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Tracheal reconstruction surgery for congenital tracheal stenosis