BACKGROUND: Low rates of major complications have been reported for the intussuscepting bronchial anastomotic technique but @entity850 , malacia, and granulation tissue at the @entity254 may cause clinically important morbidity. We hypothesized that a modification of the telescoping technique that improves bronchial wall apposition might be associated with improved bronchial healing and clinical outcomes. METHODS: The telescoping horizontal mattress "U-stitch" suture technique was modified to incorporate figure-of-eight sutures placed in the cartilaginous wall between each of three intussuscepting U stitches. Serial videotape records of 152 individual anastomoses (99 modified, 53 telescoped) in 118 consecutive operative survivors were retrospectively reviewed by examiners blinded with respect to technique used. @entity850 , airway instability, mucosa quality, and devascularized luminal tissue were graded at 4 to 14 days (initial), 4 to 12 weeks (early), and 6 to 12 months (late) after transplantation. RESULTS: The incidence of @entity850 was significantly lower using the modified technique at the initial (p = 0.025) and late (p = 0.015) observations. In the initial phase airway instability (p = 0.015) and devascularization grades (p = 0.001) were also significant lower in the modified group. There were no significant differences in mucosal condition between techniques. The modified telescoping technique was associated with significant survival advantage (mean 17.7%; p = 0.029) by multivariate analysis. The incidence of major airway complications (dehiscences and stenoses required stents) tended to be lower (3% versus 6%) in the modified group. CONCLUSIONS: The modified telescoping bronchial @entity254 technique is associated with improved early and late bronchial healing and higher 5-year survival without increased major airway complications.

A modified bronchial XXXX technique for lung transplantation.

@entity254 :: ('MESH:C563598', 'Disease') :: ['anastomosis'] @entity850 :: ('MESH:D003251', 'Disease') :: ['Stenosis', 'anastomotic stenosis', 'stenosis']
@entity254 :: (MESH:C563598,Disease) :: ['anastomosis']
