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Correspondence to Author: Rocio Castilo-Larios.MD and Alejndra Yu Lee-Matus, 

Rocio Castilo-Larios. Department of General Surgery, Mayo Clinic Florida..

Abstract: The surgical method and results of tracheobronchoplasty (TBP) using a ringed polytetrafluoroethylene (PTFE) vascular graft are discussed in this study
We have registered every patient who received PTFE-TBP at the Mayo Clinic in Florida for severe expiratory central airway collapse between January 1, 2018, and August 20, 2021. Pulmonary function testing, 6-minute cough-specific quality of life questionnaire (CSQLQ), St. George’s Respiratory Questionnaire (SGRQ) for preoperative and postoperative patients The walk test and dynamic bronchoscopy videos that were blinded during the 3-month follow-up were utilized to evaluate the results.
PTFE-TBP was performed on 14 patients (median age, 62.5 years; 64.3% female). The typical length of stay in the hospital was five days, the median time spent in the intensive care unit was one day, and the median operation time was 355 minutes. A complication of Claudien-Dindo grade 3 occurred in one patient. Comparison of the results from the preoperative and postoperative questionnaires showed enhancement of the median CSQLQ score by 22 (P [.005) and the median SGRQ score by 14.79 (P [.013). The results of the 6-minute walk test and preoperative and postoperative lung function showed no discernible differences. Improved median collapsibility of the mid trachea (P <.001), distal trachea (P <.001), left main bronchus (P <.001), right main bronchus (P <.001), and bronchus intermedius (P <.001) were all shown by postoperative bronchoscopy

Citation:

Rocio Castilo-Larios. Clinical Results of Tracheobronchoplasty Using Polytetrafluoroethylene Vascular Graft with Rings. Annals of Thoracic Surgery 2024.