Esophagus : official journal of the Japan Esophageal Society · 2020
Successful reconstruction of an intrathoracic tracheal defect using a muscle flap and conchal cartilage graft.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Maitani Kosuke, Yamasaki Makoto, Otani Naoya, Seike Shien, Tomita Koichi, Yamashita Kotaro, Tanaka Koji, Makino Tomoki, Doki Yuichiro, Kubo Tateki
Аннотация
BACKGROUND: Malignant invasion of the respiratory tract is a common complication in advanced cases of esophageal carcinoma. Resection and reconstruction can be extremely challenging, particularly when the invasion is intrathoracic. A circumferential tracheal resection with direct tracheal closure or mediastinal tracheostomy is often performed, but the outcome is not always favorable, with high morbidity rates, loss of vocal function, and reduced quality of life.
METHODS: We present our experience in performing an intrathoracic tracheal reconstruction in which a conchal cartilage graft was used in combination with a pectoralis major muscle transposition.
RESULTS: This was successfully done following the noncircumferential resection of the intrathoracic trachea due to mural invasion by a metastatic lymph node of esophageal carcinoma.
CONCLUSIONS: We believe this report will contribute to the growing body of clinical expertise on procedures for intrathoracic tracheal reconstruction.
METHODS: We present our experience in performing an intrathoracic tracheal reconstruction in which a conchal cartilage graft was used in combination with a pectoralis major muscle transposition.
RESULTS: This was successfully done following the noncircumferential resection of the intrathoracic trachea due to mural invasion by a metastatic lymph node of esophageal carcinoma.
CONCLUSIONS: We believe this report will contribute to the growing body of clinical expertise on procedures for intrathoracic tracheal reconstruction.