eISSN: 1897-4252
ISSN: 1731-5530
Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery
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4/2006
vol. 3
 
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abstract:

Torakochirurgia
The use of silicone Y endoprosthesis in trachea bifurcation neoplastic stenoses treatment

Zbigniew Grochowski
,
Henryk Olechnowicz
,
Tomasz Gil
,
Wojciech Czajkowski

Kardiochirurgia i Torakochirurgia Polska 2006; 3 (4): 394–399
Online publish date: 2007/01/10
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Background: Airway obstruction caused by malignant tumours is a difficult therapeutic problem. Aim: The target was to assess the efficacy of trachea bifurcation Y silicone prosthesis in inoperable bronchial tree neoplastic stenosis and to assess radio- and/or chemotherapy efficacy after the restoration of airway patency and stent implantation. Material and methods: 37 patients had a silicone Y tube implanted in the trachea and main bronchi. The patients’ clinical condition was examined before and after stent implantation; general condition was assessed on the Karnofsky scale; spirometry and gasometry were performed. Results: After trachea bifurcation prosthesis implantation an improvement of patients’ general condition was observed; the mean number of points on the Karnofsky scale increased from 37.3 to 66.5. Mean VC value increased from 1632 to 2208 ml; gas-exchange improved. Mean observation time was 171 days. Conclusion: The silicone Y stent implantation to trachea bifurcation in inoperable neoplasms causing respiratory tract stenosis immediately removes dyspnoea and brings about general improvement in condition. The possibility of combined treatment is essential.
keywords:

Y endoprosthesis, neoplastic stenosis, dispnoea

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