Jeon H-K, So Y K, Yang J-H, Jeong H-S
Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea.
J Laryngol Otol. 2009 Jul;123(7):807-10. doi: 10.1017/S0022215108003216. Epub 2008 Sep 23.
Local extension of thyroid carcinoma can result in massive invasion of the trachea, causing severe airway compromise. The pre- and peri-operative management of such airway compromise is difficult but critical. We report the use of extracorporeal oxygenation support as an alternative peri-operative airway management option in such a situation. This approach facilitated curative surgery in a patient with papillary thyroid carcinoma invading the trachea.
We present a case report regarding extracorporeal oxygenation support in a patient with locally advanced thyroid carcinoma.
The patient was a 68-year-old woman with aggressive thyroid papillary carcinoma invading the trachea. The airway was almost totally obstructed, and tracheal resection and end-to-end anastomosis was planned. A venovenous bypass catheter was placed for cardiopulmonary bypass, using the bilateral femoral veins. Curative surgery and reconstruction were then performed successfully, under general anaesthesia assisted by cardiopulmonary bypass oxygenation.
Cardiopulmonary bypass oxygenation is a safe and effective alternative airway management option in patients with locally aggressive thyroid cancer.
甲状腺癌的局部扩展可导致气管大量受侵，引起严重气道梗阻。此类气道梗阻的术前及围手术期处理困难但至关重要。我们报告在此种情况下使用体外氧合支持作为一种替代性围手术期气道管理选择。这种方法为一名气管受侵的乳头状甲状腺癌患者实施根治性手术提供了便利。
我们呈现一例关于局部晚期甲状腺癌患者体外氧合支持的病例报告。
患者为一名68岁女性，患有侵袭性乳头状甲状腺癌并侵犯气管。气道几乎完全梗阻，计划行气管切除及端端吻合术。经双侧股静脉置入静脉-静脉旁路导管用于体外循环。随后在体外循环氧合辅助下全身麻醉下成功实施了根治性手术及重建。
体外循环氧合是局部侵袭性甲状腺癌患者安全有效的替代性气道管理选择。
