Iatrogenic tracheobronchial ruptures - treatment and outcomes

• Published in: Interactive cardiovascular and thoracic surgery 2006-06, Vol.5 (3), p.303-306
• Main Authors: Leinung, Steffen, Mobius, Christian, Hofmann, Hans-Stefan, Ott, Rudolf, Ruffert, Henrik, Schuster, Ernst, Eichfeld, Uwe
• Format: Article
• Language: English
• ISSN: 1569-9293; 1569-9285
• DOI: 10.1510/icvts.2005.117242

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.: [phone]; fax: [phone]. 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