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J Thorac Cardiovasc Surg 1994;107:29-31
© 1994 Mosby, Inc.

GENERAL THORACIC SURGERY

A new variation of tracheobronchoplastic operation

Sofia, Bulgaria

From the Thoracic Department of the National Center of Oncology, Sofia, Bulgaria.

Received for publication Feb. 18, 1993. Accepted for publication April 20, 1993. Address for reprints: A. Simeonov, MD, PhD, Associate Professor, 37 Vitosha Blvd., Sofia 1000, Bulgaria.

Abstract

A new variation of tracheobronchoplastic operations that we named modified plastic surgery was applied successfully on six patients with lung cancer and one with carcinoid adenoma. Modified plastic surgery consists of adaptive shaping of healthy portions of the bronchi and elimination of parts affected by the pathologic process, which usually required the respective lung resection. Suturing of the fragments reestablished the airways and rendered the formation of postoperative stenoses and anastomoses practically impossible. Indications for this type of operation were decided individually according to the location of the process and the requirements for complete resection in the cases with lung cancer. In many instances this type of operation was the only option for preservation of the organ. (J THORAC CARDIOVASC SURG 1994;107:29-31)