Analise dos resultados da cirurgia da estenose laringotraqueal e traqueal na Unicamp

AUTOR(ES)
DATA DE PUBLICAÇÃO

2001

RESUMO

The trachea surgery presents some peculiarities that becomes it extremely attractive to the thoracic surgeon. The objective of this search is to show and evaluate the results of 68 operated patients by laryngotracheal and tracheal stenosis at the Thoracic Surgery Division at Campinas State University (Unicamp), during the period of November´1979 to August´2001. It was analyzed the results and its association to: the presence of a previous tracheotomy, with an anatomic localization of the lesion; the ventilation technique used; kind of performed surgery; extension of the resection; surgical threads used in the anastomosis and level that anastomosis was performed. It was also evaluated the acquired experience, comparing with the two phases of our casuistry divided into two groups, on September 1996, of 34 patients to compare results as well complications. In order to test the association among the varieties, it was performed the Chi Squared test, adopting 5% as criterion of relevant statistics to the Pearson coefficient correlation. Out of the average age of 28,5, 85,3% is male and 14,7% female and ethnically 86,8% relating to whites and 13,2% non whites. The orotracheal intubation was the most important causal factor resulting from, in most of the cases, cranium-encephalic traumatism. The intubation average time was 14,8 days. The patients were in tracheotomy condition in 62,7% of the cases. The more frequent symptoms were stridor and progressive dyspnea in 87,3% of the cases. There was no statistics difference in the following analysis: stenosis localization and the surgery itself. There was no statistics difference, but a strong tendency to failure of the patients with previous tracheotomy, when it was not used no absorbable threads and when the anastomosis is progressively higher (thyreotracheal worse than cricotracheal worse than tracheotracheal). The ventilation used showed a stronger tendency to similar results when compared with controlled ventilation with ventilation jet. In the analysis of extension of resection there was no significant difference, although when it is diminished the resection extremes in few patients, it was observed that the resections between 3,5cm and 4,0cm showed worse results, compared to those resections between 1,5cm and <3,5cm. The complication level was not different between phase I and phase II, but the method failure was higher in phase I

ASSUNTO(S)

traqueia - intubação traqueia - cirurgia traqueia - estenose

ACESSO AO ARTIGO

Documentos Relacionados