Toma Miki, Kamagata Shoichiro, Hirobe Seiichi, Komori Koji, Okumura Kenji, Mutoh Mitsuru, Hayashi Akira
Department of Surgery, Tokyo Metropolitan Kiyose Children's Hospital, Kiyose City, Tokyo, Japan.
J Pediatr Surg. 2009 Oct;44(10):2019-22. doi: 10.1016/j.jpedsurg.2009.06.018.
Slide tracheoplasty has become a standard procedure to treat long-segment congenital tracheal stenosis because it is a reasonable and simple technique. Slide tracheoplasty does not affect the carina during long-segment congenital tracheal stenosis management, and thus lesions of the carina, such as stenosis and tracheobronchomalacia can become important causes of extubation failure after surgery. In this manusript, we describe the effectiveness of our modified slide tracheoplasty, which includes reconstruction of the carina. We have performed this technique on three patients, all of whom were extubated without developing any respiratory symptoms.
滑动气管成形术已成为治疗长段先天性气管狭窄的标准手术，因为它是一种合理且简单的技术。在处理长段先天性气管狭窄时，滑动气管成形术不会影响气管隆突，因此气管隆突的病变，如狭窄和气管支气管软化，可能成为术后拔管失败的重要原因。在本手稿中，我们描述了我们改良的滑动气管成形术（包括气管隆突重建）的有效性。我们对三名患者实施了该技术，所有患者均成功拔管，且未出现任何呼吸道症状。
