Tratamento cirúrgico das afecções traqueais : análise de 256 casos consecutivos

AUTOR(ES)
FONTE

IBICT - Instituto Brasileiro de Informação em Ciência e Tecnologia

DATA DE PUBLICAÇÃO

2010

RESUMO

Backgraund: Tracheoplasty is the procedure of election for the definitive treatment of stenosis, malacia, tracheoesophagic fistula and upper airway tumors. Objective: To analyze results of the surgical management of tracheal diseases in one single institution during nineteen years. Metods: Historical cohort study, through data collected from hospitalized patient and outpatient records. Results: Between January 1990 and June 2009, 256 patients were undergone to tracheoplasty. The average age was 42 years, and 63.0% were male. The indication for surgery was: 64.8% pos-inflamatory estenosis, 10.2% re-estenosis, 7.4% tracheoesophagic fistula, 6,3% tracheal tumor ressection, 5,5% treatment of tracheomalacy and 2,7% tracheal trauma. The main access was cervicotomy in 95.6%. It was performed subglotic ressection with crico-tracheal or thyroid-tracheal anastomosis in 49.0% of the cases, tracheo-tracheal anastomosis in 41.0%, tracheomalacy surgical treatment with prothesis of polipropileno in 3,9%, cartilage graft (Cotton) in 3,5% and primary suture in 1,5%. Early complications occurred in 29.2% of the times: deiscencia 10.5%, operatory site infection 9.0%, and respiratory infection 5.9%. The principal late complication was re-estenosis, in 14.5% of the cases. Diabetes was associated with postoperative complications (p=0.03), and corticosteroid use was associated to poor results (p=0.01). The surgical mortality (30 days) was 2.0%. Conclusions: The surgical treatment of tracheal diseases is an aceptable complex task, with significant morbid-mortality risk, but with satisfatory results.

ASSUNTO(S)

traquéia : cirurgia

ACESSO AO ARTIGO

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