Xu Jian, Yang Jianbo, Mo Ligen, Wei Zhengbo
Department of Head and Neck Surgery, the Affiliated Cancer Hospital of Guangxi Medical University, Nanning, China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2009 May;23(9):385-6, 390.
To summarize the experience of cervical trachea sleeve resection.
Twelve cases of sleeve resection between January 1985 and December 2006 were retrospectively analyzed. Six cases were adenoid cystic carcinoma, four cases were squamous cell carcinoma, one case was adenocarcinoma and one case was cervical tracheomalacia. Length of cervical trachea resection is three to six cm with primary anastomosis, among which five cases were over five cm, seven cases underwent laryngeal release and three cases underwent subtotal thyroidectomy. Nine cases were tracheal anastomotic stoma enwrapped with normal thyroid tissue and three cases were not.
Laryngeal function and normal phonation were saved, anastomotic stoma healed up, and the tracheal mucosa appear normal in all the patients . The three years survival rate and five years' survival rate were 85.37% and 56.61% for the patients respectively.
Cervical trachea sleeve resection accorded with the principle of tracheal tumors therapy. It was conducive to healing of the tracheal anastomosis.
总结颈段气管袖状切除术的经验。
回顾性分析1985年1月至2006年12月间12例袖状切除术病例。其中腺样囊性癌6例，鳞状细胞癌4例，腺癌1例，颈段气管软化症1例。颈段气管切除长度为3至6厘米，均行一期吻合，其中5例超过5厘米，7例行喉松解术，3例行甲状腺次全切除术。9例气管吻合口被正常甲状腺组织包裹，3例未被包裹。
所有患者均保留了喉功能及正常发声，吻合口愈合良好，气管黏膜外观正常。患者的三年生存率和五年生存率分别为85.37%和56.61%。
颈段气管袖状切除术符合气管肿瘤治疗原则，有利于气管吻合口的愈合。
