Table 1.
Surgical procedures and outcomes in 73 patients
|
Surgical procedure
|
No. of patients
|
No. of survivors
|
| BBT group (n = 38) | ||
| Debridement and end-to-end anastomosis of the main bronchus | 121,2 | 12 |
| Simple suture of the main bronchus | 3 | 3 |
| EDT for clamping of proximal end of main bronchus | 1 | 0 |
| Emergency explorative thoracotomy in operating room | 1 | 0 |
| Pneumonectomy of left lung | 1 | 0 |
| Simple suture of lobar bronchus | 5 | 5 |
| Lobectomy | 73 | 7 |
| Irregular segmentectomy | 8 | 8 |
| PBT group (n = 35) | ||
| Repair of main bronchus | 21 | 2 |
| Simple suture of lobar bronchus | 4 | 4 |
| Lobectomy | 6 | 6 |
| Emergency explorative thoracotomy in operating room | 1 | 0 |
| Pulmonary tractotomy for ligation of vessels and bronchi | 22 | 21 |
1
Simultaneous repair of vascular injury in one case.
2
Two required reoperation, including resection of the stenosed segment followed by anastomosis 3 years later in one and sleeve resection with the upper lobe 6 mo later in another.
3
In one of seven patients, anastomosis was performed during the initial thoracotomy, and reoperation had to be performed because of stenosis 3 mo later.
BBT: Blunt bronchial trauma; PBT: Penetrating bronchial trauma; EDT: Emergency department thoracotomy.