Abstract
Two cases of successful sleeve lobectomy of the right middle and lower lobes for cicatricial bronchial stenosis due to bronchial tuberculosis were reported. Case 1 ; a 33-year-old female complained of fever, cough and exertional dyspnea. The diagnosis was established after sputum examination and bronchoscopy. She was operated on after treatment with medication and SM nebulizer. Case 2 ; a 28-year-old male complained of cough. The diagnosis was also established after sputum examination and bronchoscopy. He was operated on after treatment with medication and INH nebulizer. Bronchial stenosis extended from the carina to the right truncus intermedius in each case. The final diagnosis was established by bronchoscopy, therefore it is an essential examination for tuberculosis with asthmatic or irritation symptoms of the central air way. Bronchography was useful for the selection of the operative procedure. The postoperative course was not eventful and re-stenosis did not occur. For bronchial tuberculosis, the operative procedure should be selected from the viewpoint of not only resection but also functional preservation. Preoperative medication including use of nebulizers is important in bronchoplasty for bronchial tuberculosis.
