{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T08:34:07Z","timestamp":1740126847669,"version":"3.37.3"},"reference-count":31,"publisher":"Georg Thieme Verlag KG","issue":"06","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Thorac Cardiovasc Surg"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003Tracheal and laryngotracheal surgery provides both excellent functional results and long-term outcomes in the treatment of tracheal stenosis. Consequently, challenging re-resections are rarely necessary. The purpose of this study was to compare the outcome of (laryngo-)tracheal re-resection and surgery after bronchoscopic interventions with that of primary surgery.<\/jats:p><jats:p>\n          Methods\u2003Patients undergoing resection for benign tracheal stenosis at our center between 1\/2016 and 4\/2020 were included. Perioperative characteristics and functional outcomes of patients were used for statistical analysis.<\/jats:p><jats:p>\n          Results\u2003Sixty-six patients who underwent (laryngo-)tracheal resection were included (previous resection [A\u2009=\u20096], previous stent [B\u2009=\u20096], previous bronchoscopic intervention w\/o stenting [C\u2009=\u200919], untreated [D\u2009=\u200935]). Baseline parameters were largely comparable between groups with exception from group B that had significantly worse lung function. Group A necessitated more complex reconstructions (end-to-end: n\u2009=\u20091: 17%| cricotracheal n\u2009=\u20092: 33%| cricotracheal with mucosectomy n\u2009=\u20092: 33%| laryngoplasty: n\u2009=\u20091: 17%) than patients in group D (end-to-end n\u2009=\u200921: 60%| cricotracheal n\u2009=\u200914: 40%). Postoperative outcomes were comparable throughout groups (intensive care unit: 1[1\u201318] days; hospital stay: 8[5\u201371] days). Anastomotic complications were higher after previous stenting (A: 0%; B: 33.3%; C: 10.5%; D: 2.9%; B\/D p\u2009=\u20090.008| surgical revisions: A: 16.7%; B: 33.3%; C: 0%; D: 5.7%; B\/D, p\u2009=\u20090.035). Overall, postoperative lung function was significantly better (forced expiratory volume in 1 second: 63%\u2009\u00b1\u200924 vs. 75%\u2009\u00b1\u200920; p\u2009=\u20090.001 | PeakEF 3.3\u2009\u00b1\u20091.9 vs. 5.0\u2009\u00b1\u20092.2L; p\u2009=\u20090.001). No 90-day mortality was observed in any group. Median follow-up was 12(1\u201347) months.<\/jats:p><jats:p>\n          Conclusion\u2003In carefully selected patients treated in a specialized center, tracheal or laryngotracheal resection after previous tracheal interventions provides comparable outcome to primary surgery.<\/jats:p>","DOI":"10.1055\/s-0041-1728772","type":"journal-article","created":{"date-parts":[[2021,6,2]],"date-time":"2021-06-02T00:41:37Z","timestamp":1622594497000},"page":"505-512","source":"Crossref","is-referenced-by-count":4,"title":["Tracheal Resection after Previous Treatment Provides Comparable Outcome to Primary Surgery"],"prefix":"10.1055","volume":"70","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0651-0832","authenticated-orcid":false,"given":"Alexis","family":"Slama","sequence":"first","affiliation":[{"name":"Department of Thoracic Surgery, Ruhrlandklinik, University Medicine Essen, Essen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed","family":"Zaatar","sequence":"first","affiliation":[{"name":"Department of Thoracic Surgery, Ruhrlandklinik, University Medicine Essen, Essen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhittin","family":"Demir","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, University Medicine Essen, Essen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oezlem","family":"Okumus","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Ruhrlandklinik, University Medicine Essen, Essen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefan","family":"Mattheis","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, University Medicine Essen, Essen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandra","family":"Kampe","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Ruhrlandklinik, University Medicine Essen, Essen, Germany"},{"name":"Department of Anaesthesiology and Intensive Care Medicine, University Hospital Magdeburg, Magdeburg, Sachsen-Anhalt, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaid","family":"Darwiche","sequence":"additional","affiliation":[{"name":"Division of Interventional Pneumology, Ruhrlandklinik, University Medicine Essen, Essen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephan","family":"Lang","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, University Medicine Essen, Essen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7787-991X","authenticated-orcid":false,"given":"Clemens","family":"Aigner","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Ruhrlandklinik, University Medicine Essen, Essen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,6,1]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"crossref","first-page":"486","DOI":"10.1016\/S0022-5223(95)70279-2","article-title":"Postintubation tracheal stenosis. 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