Tracheal surgery requires a highly specialized team of anesthesiologists, thoracic surgeons, and operative support staff. It remain a formidable challenge for surgeons due to the criticality connected to anatomical considerations, intraoperative airway management, technical complexity of reconstruction, and the potential postoperative morbidity and mortality.
Interventional pulmonology treatments, such as mechanical dilatation, laser ablation and stenting have a limited and transient role in the treatment of tracheal lesions due to frequent recurrences.
The most common indications for Laryngotracheal (LTRR) and tracheal resection and reconstruction (TRR) are symptomatic concentric stenosis either idiopathic or related to prolonged intubation.
SURGICAL PROCEDURES
ICU Stay: 1 day
HOSPITAL Stay: 5 – 6 days
TOTAL Stay in TURKEY (range in DAYS*; unless any other complications!): 14-16 Days
GENERAL INFO
Before Surgery
- Consultations – (Preop – *(Only Anesthesia and Chest Diseases are preoperatively included in the total charges!): Anesthesia and Chest Diseases (if needed)*
- Blood Tests: Yes (Hemogram, Serology, Biochemistry, Blood type)
- Chest X-Ray: Yes (*Bilateral; PA and Lateral Chest X-Rays & Bilateral Cervical X-Ray)
- Abdominal X-Ray: No
- PFT (Pulmonary Function Test): No
- V/Q Scan (Lung Ventilation / Perfusion Scan): No
- Chest and/or Abdominal CT Scan – (If the patient have the CT scans already done (last 2 weeks), then no need to take additional CT scans preop): Chest CT Scan – *(Not included in the total charge)
- PET / CT Scan (Positron Emisson Tomography): Preop PET/CT only if the patient has cancer (*Not included in the total charges)
- MRI (Chest, Abdomen and/or Brain) – *(If the patient have the MRI already done, then no need to take additional MRI preop): If needed! (* Not included in the total charges!)
- Bone Scan: No
USG / Ultrasonography (Chest, Abdomen, and/or others) – If needed! (*Not included in the total charges!)
During Surgery:
- General Anesthesia: Yes
- Local/Regional Anesthesia: No
- Local Anesthesia + Sedation: No
- Spinal / Epidural Anesthesia: Not routine!; *If needed! *(Not included in the total charges!)
- PCA (Patient Controlled Analgesia; Epidural or IV route!): PCA (Patient Controlled Analgesia) – IV route! – *(Not included in the total charges!)
After Surgery
- HOSPITAL STAY after the ICU period, if ever: 5 – 6 Days
- STAY AT HOTEL after being discharged from Hospital – *’Wound Dressing’ Everyday till the Control Day!: 8-10 Days
- First CONTROL Day!: 8th-10th Day after being discharged to HOTEL!; *Take the Stitches out!; if ever.
- Discharged to HOME – *Take your prescription – DO NOT FORGET! – Patient generally could have “a safe flight to home” after the FIRST CONTROL!: 10th Day after discharged to HOTEL
- After – Surgery (3rd to 4th Weeks) – Needs CONSULTATIONS by “Medical AND Radiation Oncology Clinics”: Yes, if *cancer is being reported!
- Late – CONTROLS (1st -3rd – 6th – 12th -24th months in concordance with “the Medical & Radiation Oncology Departments Followups”)!: Yes, if *cancer is being reported!