Li Shuben, Liu Jun, He Jiaxi, Dong Qinglong, Liang Lixia, Yin Weiqiang, Pan Hui, He Jianxing
1 Department of Thoracic Surgery, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China ; 2 Guangzhou Research Institute of Respiratory Disease, China State Key Laboratory of Respiratory Disease, Guangzhou 510120, China ; 3 National Centre for Clinical Trials on Respiratory Diseases, Guangzhou 510120, China ; 4 Department of Anesthesiology, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China.
J Thorac Dis. 2016 Mar;8(3):600-7. doi: 10.21037/jtd.2016.01.60.
Intratracheal tumor is a rare tumor, accounting for only 2% of upper respiratory tract neoplasms. Its symptoms are similar to those of head and neck cancers, including coughing up blood, sore throat, and airway obstruction. The diagnosis of this disease is often based on the findings of fibrobronchoscopy or computed tomography (CT). Surgery remains the treatment of choice for tracheal tumor. In patients with benign neoplasms or if the tumors have limited involvement, fibrobronchoscopic resection of the tumor can be performed. For malignant tumors, however, radical resection is required. In the past, open incision is used during the surgery for tumors located in thoracic trachea. Along with advances in video-assisted thoracoscopic surgery (VATS) minimally invasive techniques and devices, VATS resection and reconstruction of the trachea can achieve the radical resection of the tumor and meanwhile dramatically reduce the injury to the patients. In this article we describe the application of VATS resection and reconstruction of trachea in the management of a tracheal neoplasm.
气管肿瘤是一种罕见肿瘤，仅占上呼吸道肿瘤的2%。其症状与头颈癌相似，包括咯血、咽痛和气道阻塞。该疾病的诊断通常基于纤维支气管镜检查或计算机断层扫描（CT）的结果。手术仍然是气管肿瘤的首选治疗方法。对于良性肿瘤患者或肿瘤累及范围有限的患者，可进行纤维支气管镜下肿瘤切除术。然而，对于恶性肿瘤，则需要进行根治性切除。过去，对于位于胸段气管的肿瘤，手术时采用开放切口。随着电视辅助胸腔镜手术（VATS）微创技术和设备的进步，VATS气管切除重建术既能实现肿瘤的根治性切除，又能显著减少对患者的损伤。在本文中，我们描述了VATS气管切除重建术在气管肿瘤治疗中的应用。
