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Current Thoracic Surgery 2020 , Vol 5 , Issue 1
Prognostic factors associated with morbidity and mortality after surgery for postintubation tracheal stenosis
Altan Ceritoğlu1,Celal Bugra Sezen1,Cemal Aker1,Oguz Girgin1,Hasan Akın1
1Department of Thoracic Surgery, University of Health Sciences, Yedikule Chest Diseases and Thoracic Surgery Education and Research Center, Istanbul, Turkey DOI : 10.26663/cts.2020.0003 Viewed : 4612 - Downloaded : 1516 Background: In this study, we reviewed the treatment, follow-up, and prognostic factors associated with complications in patients who underwent tracheal resection due to postintubation tracheal stenosis (PETS), in light of the literature.

Materials and Methods: Twenty-five patients who were operated for PETS between June 2012 and June 2017 were retrospectively evaluated. The patients’ postoperative complications and prognostic factors affecting mortality were examined.

Results: There was 11 female (44%) and 14 male (56%) patients. Eight patients (32%) had comorbidities. The mean prolonged intubation time was 47.4 ± 55.0 minutes. Eight patients (32%) developed postoperative morbidity. The main prognostic factors associated with morbidity were the length of the stenotic area and the presence of endocrine and respiratory comorbidities (p<0.05). Tracheal fistulae were observed in 2 patients. The postoperative mortality rate was 8% (n=2). One patient with fistula died on postoperative day 2, while another patient died at postoperative three months due to cardiac failure. No significant factor was identified in relation to the development of tracheal fistulae.

Conclusions:The most important factor associated with complications was the presence of endocrine comorbidities. Although tracheal surgery results in high rates of postoperative morbidity and mortality, we believe these risks can be reduced by experienced surgeons and appropriate patient selection. Keywords : tracheal stenosis, postintubation, surgery