前縦隔を経由する永久気管瘻造設手術

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タイトル別名
  • Tracheostoma through the Anterior Mediastinum
  • マエ ジュウカク オ ケイユスル エイキュウ キカン ロウゾウセツ シュジュツ

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Advanced cancer in the cervical esophagus or in the cervical trachea and recurrent cancer in the lower neck can be controlled and cured if extensive radical surgery is performed, in which resection of the cervical trachea is combined with relocatin of the trachea in the uppr chest wall through the anterior mediastinum. Excision of the upper part of sterum and the head of the clavicle and sliding the skin of anterior chest wall down into the mediasfinum are most responsible for a safer anastomosis of the tracheal stump. Wound dehiscence and crust formation in the trachea can be avoidable by an intensive post-operative case. Indications and detailed surgical procedure were described in this paper with some care reports.

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