Dralle H, Scheumann G F, Meyer H J, Laubert A, Pichlmayr R
Klinik für Abdominal- und Transplantationschirurgie, Medizinischen Hochschule Hannover.
Chirurg. 1992 Apr;63(4):282-90.
In 1989 und 1990 a resection within the region of the cervical airways and/or oesophagus was performed for an infiltrating tumor in 9 out of 95 patients (9.5%) suffering from thyroid carcinoma and in one patient with lymph node metastases from a carcinoma of the uterine cervix. There was no operative mortality. One patient died six weeks after resecting the anterior wall of the trachea of an intratracheal arterial bleeding due to radiation therapy. In one case the reconstruction of the trachea was performed with autologous material, in three patients alloplastic material was used. The oesophagus was reconstructed preferably by means of free microvascular jejunum autografts (n = 4), using a colon interposition in another two patients. In locally advanced differentiated and medullary thyroid carcinoma curative operations of the cervical hollow organs using microsurgical techniques can be performed with an acceptable operative risk and good functional results. They may markedly improve the otherwise limited prognosis of the disease.
1989年和1990年，95例甲状腺癌患者中有9例（9.5%）以及1例子宫颈癌淋巴结转移患者因浸润性肿瘤接受了颈段气道和/或食管区域的切除术。无手术死亡病例。1例患者在切除气管前壁六周后死于放疗引起的气管内动脉出血。1例患者用自体材料进行了气管重建，3例患者使用了异体材料。食管重建首选游离微血管空肠自体移植（n = 4），另外2例患者采用结肠间置术。对于局部晚期分化型和髓样甲状腺癌，采用显微外科技术对颈段中空器官进行根治性手术，手术风险可接受，功能效果良好。它们可能会显著改善该疾病原本有限的预后。
