Original articleGeneral thoracicPredictors for Postoperative Complications After Tracheal Resection
Section snippets
Material and Methods
This retrospective study included patients who underwent tracheal or laryngotracheal resection with primary reconstruction at our division of thoracic surgery between February 2002 and January 2009. Our institution is a tertiary teaching hospital and a national referral center for tracheal diseases. Data were collected from medical records, and all patients were assigned a code number to ascertain confidentiality of information. This project was submitted and approved by the hospital's Ethics
Results
The flow of the patients is depicted in Figure 1. During the study period, 138 patients with laryngotracheal stenosis underwent operation. Forty-four patients were excluded from the study (10 patients had incomplete medical records; 28 underwent laryngeal split and cartilaginous grafting; and 6 had miscellaneous etiologies). Ninety-four patients (18 women and 76 men) were eventually included in the study. Patient demographics and the characteristics of the study group are depicted in Table 1.
Of
Comment
In the present study, the overall complication rate was 44.6%, with no mortality. Restenosis was the most frequent complication, occurring in 16% of the patients. The factors associated with anastomotic complications were the presence of comorbidities, previous tracheal resection, and the extent of the resection.
The overall morbidity after tracheal resection varies from 17% to 45% 3, 7, 8, 9, 10, 11, and mortality ranges from 0% to 2.4% 3, 7, 8, 9, 10. The high variability rates of
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