Tracheal resection with end-to-end anastomosis preserving paries membranaceus trachea for patients with papillary thyroid carcinoma

Acta Oto-laryngologica
Kiyoaki TsukaharaKazuyoshi Kawabata

Abstract

Sleeve resection of the trachea while preserving the paries membranaceus trachea appears useful for patients in whom papillary thyroid carcinoma has invaded as far as the tracheal mucosa. While tracheal sleeve resection with end-to-end anastomosis is advantageous, risks of suture failure or other serious complications exist. Since feeding arteries enter the trachea from the posterior and lateral walls, we conduct tracheal anastomosis preserving the paries membranaceus trachea. This study retrospectively examined therapeutic outcomes and postoperative complications for sleeve resection followed by end-to-end anastomosis in 12 patients between 1994 and 2005. Tracheal suture failure occurred in one patient and sutures were redone. One patient developed esophageal fistula, but recovered with conservative treatment. One patient required re-intubation. In three patients, recurrent laryngeal nerves were paralyzed bilaterally. No patients displayed recurrence in the tracheal resection margin or preserved paries membranaceus trachea. The 10-year survival rate was 72.9%.

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Citations

Nov 28, 2013·International Journal of Pediatric Otorhinolaryngology·Yoo Seob ShinChul-Ho Kim
Mar 20, 2014·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Hongwu WangSujuan Liang
Jan 21, 2014·Journal of Biomedical Materials Research. Part a·Hyun Jun HongEun Chang Choi
Aug 11, 2020·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·Thomas J Musholt
Sep 29, 2020·The Laryngoscope·Meredith AllenPeter F Svider
Nov 3, 2020·Laryngoscope Investigative Otolaryngology·Bianca LorntzsenTerje Osnes
Mar 7, 2021·Cancers·Fumihiko Matsumoto, Katsuhisa Ikeda

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