Details

Autor(en) / Beteiligte

• Leinung, Steffen
• Mobius, Christian
• Hofmann, Hans-Stefan
• Ott, Rudolf
• Ruffert, Henrik
• Schuster, Ernst
• Eichfeld, Uwe

Titel

Iatrogenic tracheobronchial ruptures - treatment and outcomes

Ist Teil von

• Interactive cardiovascular and thoracic surgery, 2006-06, Vol.5 (3), p.303-306

Ort / Verlag

England: Eur Assoc Cardio Surg

Erscheinungsjahr

2006

Quelle

Free E-Journal (出版社公開部分のみ）

Beschreibungen/Notizen

• a Thoracic Surgery Unit, Centre of Surgery, University of Leipzig, Liebigstraße 20, D-04103 Leipzig, Germany b Department of Cardio-Thoracic Surgery, Martin-Luther-University Halle-Wittenberg, Ernst-Grube-Straße 40, D-06097 Halle, Germany c Department of Anesthesiology and Intensive Care Medicine, University of Leipzig, Liebigstraße 20, D-04103 Leipzig, Germany d Institute for Medical Informatics, Statistics and Epidemiology, University of Leipzig, Härtelstr. 16–18, D-04107 Leipzig, Germany *Corresponding autor. Tel.: +49 341 9719968; fax: +49 341 9717009. E-mail address : Steffen.Leinung{at}medizin.uni-leipzig.de (S. Leinung). In the present paper we discuss the indication and follow-up of 42 patients with iatrogenic tracheobrochial ruptures. Thirty-five patients were treated by operation and 7 patients were treated conservatively. In the operated patients, four developed an insufficiency of the tracheal closure and the rupture related mortality was 2.8%. A significant effect on suture dehiscence was seen for mediastinitis ( P <0.005) prior to operation, prior resection of the esophagus ( P <0.001), and a long delay between injury and diagnosis ( P =0.004). In the conservatively treated group the rupture related mortality was 29%. In conclusion to our results we suggest a surgical procedure whenever a tracheobronchial rupture is diagnosed and the patient's constitution allows the surgical procedure or anesthesia . Key Words: Trachea; Bronchus; Rupture; Suture; Outcomes