Article Sidebar

PDF
Date Published: 28/12/2022
Abstract Views: 384
Views PDF: 144
DOI: https://doi.org/10.51298/vmj.v520i1.3763
Issue
Vol. 520 No. 1A (2022)
Section
Các bài báo
How to Cite
Lý Thịnh Trường, N. ., & Quang Vịnh, T. . (2022). SIMPLE CONGENITAL TRACHEA STENOSIS: PRIMARY OUTCOMES OF SLIDING TRACHEOPLASTY AT NATIONAL CHILDREN’S HOSPITAL. Vietnam Medical Journal, 520(1A). https://doi.org/10.51298/vmj.v520i1.3763

SIMPLE CONGENITAL TRACHEA STENOSIS: PRIMARY OUTCOMES OF SLIDING TRACHEOPLASTY AT NATIONAL CHILDREN’S HOSPITAL

Nguyễn Lý Thịnh Trường1, Trần Quang Vịnh1
1 Vietnam National Children's Hospital

Main Article Content

Abstract

Objective: Congenital trachea stenosis due to complete trachea ring was life-threatening, especially with symptomatic small infants. This study was conducted to evaluate the short-term results of sliding tracheoplasty for complete trachea ring in Children Heart Center-National Children’s Hospital, Hanoi, Vietnam. Methods: From September 2016 to March 2021, all patients were operated on using slide tracheoplasty technique, in those diagnosed with congenital trachea stenosis due to complete trachea ring, were retrospective study. Results: There were 23 patients, with gender male/female was 13/10, collected during the study period who underwent slide tracheoplasty. The median age of the study group was 314.3 ± 176.4 days (66 – 814 days). The median length of the stenotic trachea was 3.6cm (range, 2-6cm). There was 1 early death (4.7%). 3 patients required preoperative ventilation and underwent emergency operations.  Anatomic of the trachea were: 19 patients are normal (82.6%), 3 patients (13%) are bronchus suis and 1 patient (4.4%) are single lung with right lung hypoplasia. Conclusion: The early results of slide tracheoplasty for children with complete trachea ring in Children Heart Center, Hanoi is excellent and comparable with other centers in the world. Long-term follow-up is essential.

Article Details

Keywords

Congenital trachea stenosis, complete trachea ring, slide tracheoplasty

References

1. Backer CL, Mavroudis C, Gerber ME, Holinger LD. Tracheal surgery in children: an 18-year review of four techniquesq. Thorac Surg. 2001;8.
2. Yang JH, Jun TG, Sung K, Choi JH, Lee YT, Park PW. Repair of Long-segment Congenital Tracheal Stenosis. J Korean Med Sci. 2007;22(3):491.
3. Tsang V, Murday A, Gillbe C, Goldstraw P. Slide tracheoplasty for congenital funnel-shaped tracheal stenosis. Ann Thorac Surg. :4.
4. Kocyildirim E, Kanani, M, Roebuck, D, Wallis, C, McLaren C, Noctor, C, et al. Long-segment tracheal stenosis: Slide tracheoplasty and a multidisciplinary approach improve outcomes and reduce costs. J Thorac Cardiovasc Surg. 2004 Dec;128(6):876–82.
5. Chen H, Shi G, Zhu L, Wang S, Lu Z, Xu Z. Intermediate-Term Outcomes of Slide Tracheoplasty in Pediatric Patients With Ring-Sling Complex. Ann Thorac Surg. 2020 Mar;109(3) :820–7.
6. Chung SR, Yang JH, Jun TG, Kim WS, Kim YH, Kang IS, et al. Clinical outcomes of slide tracheoplasty in congenital tracheal stenosis†. Eur J Cardiothorac Surg. 2015 Mar;47(3):537–42.
7. Zhang H, Wang S, Lu Z, Zhu L, Du X, Wang H, et al. Slide tracheoplasty in 81 children: Improved outcomes with modified surgical technique and optimal surgical age. Medicine (Baltimore). 2017 Sep;96(38):e8013.
8. Manning PB, Rutter MJ, Lisec A, Gupta R, Marino BS. One slide fits all: The versatility of slide tracheoplasty with cardiopulmonary bypass support for airway reconstruction in children. J Thorac Cardiovasc Surg. 2011 Jan;141(1):155–61.