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Titolo:
AN EXPERIMENTAL-STUDY OF TRACHEAL RECONSTRUCTION USING A FREED PIECE OF THE RIGHT BRONCHUS
Autore:
MURAKAMI S; SATO H; YOKOI K; TUNEZUKA N; HAYASHI Y; SHIMIZU J; WATANABE Y;
Indirizzi:
KANAZAWA UNIV,SCH MED,DEPT SURG,13-1 TAKARAMACHI KANAZAWA ISHIKAWA 920 JAPAN ISHIKAWA PREFECTURE HOSP,DEPT SURG KANAZAWA JAPAN
Titolo Testata:
The thoracic and cardiovascular surgeon
fascicolo: 2, volume: 42, anno: 1994,
pagine: 76 - 80
SICI:
0171-6425(1994)42:2<76:AEOTRU>2.0.ZU;2-9
Fonte:
ISI
Lingua:
ENG
Keywords:
TRACHEAL RECONSTRUCTION; BRONCHOPLASTY; FREE BRONCHUS; MUCOCILIARY FUNCTION;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
4
Recensione:
Indirizzi per estratti:
Citazione:
S. Murakami et al., "AN EXPERIMENTAL-STUDY OF TRACHEAL RECONSTRUCTION USING A FREED PIECE OF THE RIGHT BRONCHUS", The thoracic and cardiovascular surgeon, 42(2), 1994, pp. 76-80

Abstract

An experimental study of tracheal reconstruction using a separate piece of bronchus was performed in 6 dogs. After right upper lobectomy, afive-cartilage-ring length of the trachea extending from five cartilage rings above the carina was circumferentially resected; the right bronchus was transected just below the carina and above the second carina to provide the piece of bronchus, which was then interposed between the distal end of the upper trachea and the proximal end of the lower trachea by end-to-end anastomoses. One-stoma type carinal reconstruction (an anastomosis between the carina and the right intermediate bronchus) was performed. After completion of the airway reconstruction, theanastomotic site was wrapped with an omental flap. One dog died 14 days after operation due to anorexia and weakness, the necropsy in this dog revealed severe ischemic change of the interposed bronchus and ulcer formation at the stump of the upper bronchus. The other 5 dogs survived the operation. Bronchoscopically, the findings for the interposedfree bronchus revealed severe ischemic change immediately after the operation, but almost normal findings were observed four to five weeks after the operation. The clinical relevance of this method of trachealreconstruction is discussed.

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Documento generato il 29/09/20 alle ore 20:40:03