Chida M, Minowa M, Eba S, Karube Y
Department of Chest Surgery, Ohta-Nishinouchi Hospital, Koriyama, Japan.
Kyobu Geka. 2008 Oct;61(11):972-5.
Both thyrotracheal anastomosis and carinoplasty are relative rare procedure in routine clinic. We reported each 2 cases of thyrotracheal anastomosis and carinoplasty in 51 cases of tracheobronchoplasty. Thyrotracheal anastomosis with partial cricoidectomy was performed in patients with subglottic stenosis for postintubation stenosis and thyroid cancer using suprahyoid release. Each case need re-intubation after surgery. Montage carinoplasty was performed in 2 patients with advanced lung cancer. Right upper lobe was end-to-side anastomosed to trachea in 1 case, and right basal segment was to left main bronchus in another. It was important both diameter in bronchus and mobilization of the residual lung for this procedure.
甲状腺气管吻合术和隆突成形术在日常临床中都是相对少见的手术。我们在51例气管支气管成形术中分别报告了2例甲状腺气管吻合术和隆突成形术。对于声门下狭窄患者，因插管后狭窄和甲状腺癌，采用舌骨上松解术进行部分环状软骨切除术的甲状腺气管吻合术。每例患者术后均需再次插管。对2例晚期肺癌患者实施了拼接式隆突成形术。1例患者右上叶与气管行端侧吻合，另1例患者右肺基底段与左主支气管吻合。对于该手术，支气管直径和余肺的游离都很重要。
