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A Journal on Surgery

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Chirurgia 2007 June;20(3):121-3

language: English

Palliative treatment of central airway obstruction by endoscopic stenting: a single centre experience

Capoccia M., Awan M. Y., Rahamim J. S.

South West Cardiothoracic Centre Derriford Hospital, Derriford Road Plymouth, PL6 8DH, United Kingdom


Aim. Airway stenting with silicone or expandable metal stents provides reliable and durable palliation in adequately selected patients. We sought to review our experience with endoscopic airway stenting in adults with tracheobronchial obstruction.
Methods. Fifteen patients (10 women and 5 men) aged 45 to 85 years underwent tracheobronchial stenting between February 2001 and June 2005. The aetiology of tracheobronchial obstruction included squamous cell carcinoma of the lung (n=2); bronchial carcinoma (n=2); local recurrence in previous lung resection (n=1); external compression (n=4); tracheo-oesophageal fistula secondary to advanced carcinoma of the oesophagus (n=3); infiltration of the trachea secondary to advanced carcinoma of the oesophagus (n=1); tracheomalacia (n=1); advanced obstructing tracheal tumour (n=1).
Results. All patients had the insertion of self-expanding metal stents. At follow up at 8 days to 50 months, 9 of 15 patients were alive but all the deaths were secondary to the underlying disease and not related to complications following stenting. Symptomatic relief had always been achieved.
Conclusions. Tracheobronchial stenting seems a valid option for palliative treatment in adult patients with advanced malignant disease. The long-term outcome remains uncertain but it is ultimately influenced by the underlying disease.

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