Modified spiral tracheoplasty after extensive window resection of trachea for advanced thyroid cancer
Modified spiral tracheoplasty after extensive window resection of trachea for advanced thyroid cancer
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晚期甲状腺癌气管广泛开窗切除术后改良螺旋气管成形术
DOI：
10.1016/j.anl.2019.02.008
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发表时间：
2019
影响因子：
1.7
通讯作者：
Nibu Ken-ichi
中科院分区：
文献类型：
--
作者：
Otsuki Naoki;Morita Naruhiko;Furukawa Tatsuya;Shinomiya Hirotaka;Teshima Masanori;Kojima Yasutaka;Nibu Ken-ichi
甲状腺乳头状癌（PTC）偶尔会侵犯气管软骨。我们采用改良螺旋气管成形术来修复局部晚期甲状腺癌切除术后的广泛气管缺损。一位72岁的女性和一位48岁的男性因PTC侵犯管腔内气管而进行了广泛的气管壁开窗切除术。将剩余的气管残端与食管壁分离，并向相反方向旋转90度。后壁和侧壁均缝合，并建立气管皮肤瘘，以防止术后气道阻塞。两例患者术后均顺利。气管皮肤瘘管在初次手术后3至4个月成功闭合。改良螺旋气管成形术是一种安全有效的重建晚期甲状腺癌扩大开窗切除后气管支架的方法。
Papillary thyroid carcinoma (PTC) occasionally invades tracheal cartilages. We adapted a reconstructive procedure “modified spiral tracheoplasty” to extensive tracheal defect after resection of locally advanced thyroid cancer. Extensive window resection of tracheal wall was performed in a 72-year-old woman and a 48-year-old man with PTC invading intraluminal trachea. Remaining stumps of trachea were separated from the esophageal wall and were rotated by 90 degrees in opposite directions. Posterior and lateral walls were anastomosed and tracheocutaneous fistula was created to prevent postoperative airway obstruction. Postoperative course was uneventful in both cases. Tracheocutaneous fistula was successfully closed 3 to 4 months after the initial surgery. Modified spiral tracheoplasty is a safe and useful method to recreate a framework of trachea after extensive window resection for advanced thyroid cancer.