Interdisciplinary cardiovascular and thoracic surgery · 2026
Video-Assisted Transcervical-Transtracheal Repair for Post-Intubation Tracheal Laceration.
СтатьяКлинический случайНазвание и аннотация: Перевод в очереди
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.
Shih Chun-Han, Huang Chien-Wei, Chang Ting-Shou
Аннотация
BACKGROUND: Post-intubation tracheal laceration (PITL) is a rare but life-threatening complication. Early recognition and appropriate management are critical to prevent severe morbidity.
CASE PRESENTATION: A 30-year-old female with class III obesity (BMI: 41.8 kg/m²) presented with progressive subcutaneous emphysema and pneumomediastinum from a 3 cm full-thickness posterior tracheal laceration (Cardillo level IIIa) after orthopaedic surgery under general anaesthesia. On postoperative day 3, she underwent video-assisted transcervical-transtracheal repair via a temporary cervical tracheostomy. Utilizing a rigid endoscope and a protocol-driven, SpO2-guided intermittent apnoeic technique, the laceration was successfully repaired with a 3-0 Monocryl running suture without complications.
CONCLUSIONS: The video-assisted transcervical-transtracheal approach offers a minimally invasive and effective alternative to conventional surgeries for PITL.
CASE PRESENTATION: A 30-year-old female with class III obesity (BMI: 41.8 kg/m²) presented with progressive subcutaneous emphysema and pneumomediastinum from a 3 cm full-thickness posterior tracheal laceration (Cardillo level IIIa) after orthopaedic surgery under general anaesthesia. On postoperative day 3, she underwent video-assisted transcervical-transtracheal repair via a temporary cervical tracheostomy. Utilizing a rigid endoscope and a protocol-driven, SpO2-guided intermittent apnoeic technique, the laceration was successfully repaired with a 3-0 Monocryl running suture without complications.
CONCLUSIONS: The video-assisted transcervical-transtracheal approach offers a minimally invasive and effective alternative to conventional surgeries for PITL.