Clinical Evaluation of Cases Having Undergone Tracheal Resection

DOI Web Site 9 References
  • Sato Katsuro
    Department of Head and Neck Surgery, Niigata University Graduate School of Medical and Dental Sciences Department of Otolaryngology, Niigata University Medical and Dental Hospital
  • Tomita Masahiko
    Department of Otolaryngology, Niigata University Graduate School of Medical and Dental Sciences Department of Otolaryngology, Niigata University Medical and Dental Hospital
  • Matsuyama Hiroshi
    Department of Otolaryngology, Niigata University Medical and Dental Hospital
  • Takahashi Sugata
    Department of Otolaryngology, Niigata University Graduate School of Medical and Dental Sciences Department of Otolaryngology, Niigata University Medical and Dental Hospital

Bibliographic Information

Other Title
  • 当科における気管切除症例の検討
  • 当科[新潟大学医学部耳鼻咽喉科]における気管切除症例の検討
  • トウ カ ニイガタ ダイガク イガクブ ジビ インコウカ ニ オケル キカン セツジョ ショウレイ ノ ケントウ

Search this article

Abstract

Eight cases that underwent tracheal resection for primary or invasive tracheal malignancies were clinically evaluated. Pathogenesis included 4 primary tracheal carcinomas and 4 thyroid carcinoma tracheal invasions. Histopathological diagnoses were 2 adenoid cystic carcinomas, 1 squamous cell carcinoma, 1 mucoepidermoid carcinoma in a tracheal carcinoma case, and 4 papillary adenocarcinomas in thyroid carcinoma cases. The surgical procedure for the primary tracheal carcinomas was tracheolaryngectomy in 4 cases, with reconstruction using a free forearm flap in 3 cases, and a free jejunum flap in 1 case. For the thyroid carcinoma tracheal invasions, total thyroidectomy was carried out in all 4 cases, with sleeve tracheal resection followed by end-to-end anastomosis in 2 cases, and partial tracheal resection followed by secondary reconstruction using an anterior chest skin flap with conchal cartilage in 2 cases. The number of resected tracheal rings was 5-8 in the primary tracheal carcinoma cases, and 4-6 in the thyroid carcinoma cases. Three of the 4 cases with primary tracheal carcinoma showed no evidence of disease, while 1 case expired by other disease. Three of the 4 cases with thyroid carcinoma showed no evidence of disease, while 1 case expired by distant metastasis. Local control was achieved in all cases, and no airway stenosis was observed. For treatment of malignant tumors of trachea, positive surgery and reconstruction should be planned for local control and prevention of airway stenosis.

Journal

References(9)*help

See more

Keywords

Details 詳細情報について

Report a problem

Back to top