Matsumoto Keitaro, Yamasaki Naoya, Tsuchiya Tomoshi, Miyazaki Takuro, Kamohara Ryotaro, Hatachi Go, Nagayasu Takeshi
Division of Surgical Oncology, Department of Translational Medical Sciences, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan.
Medical-Engineering Hybrid Professional Development Center, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.
Surg Today. 2017 Aug;47(8):1027-1035. doi: 10.1007/s00595-016-1466-6. Epub 2017 Jan 11.
For severe malignant airway stenosis, there are several types of commercially available airway stents, and each has its own advantages and disadvantages. We herein describe the safety and efficacy of combination stenting with silicone and metallic stents for patients with extended malignant airway stenosis. Seven patients with malignant airway stenosis were treated via combination stenting with a silicone stent and a metallic stent for extended airway stenosis from the central to peripheral airways. Five patients were diagnosed with advanced esophageal cancer, two of whom had tracheoesophageal fistulas. One patient had adenoid cystic carcinoma, and another had mediastinal tumor. There were no specific complications related to the double stenting. Combination stenting with silicone and metallic stents proved to be a safe option for patients with severe, extended, and complicated malignant airway stenosis.
对于严重的恶性气道狭窄，有几种市售的气道支架，每种都有其自身的优缺点。我们在此描述了硅酮支架和金属支架联合置入术对广泛性恶性气道狭窄患者的安全性和有效性。7例恶性气道狭窄患者接受了硅酮支架和金属支架联合置入术，用于治疗从中央气道到外周气道的广泛性气道狭窄。5例患者被诊断为晚期食管癌，其中2例有气管食管瘘。1例患者患有腺样囊性癌，另1例患有纵隔肿瘤。没有与双支架置入相关的特定并发症。硅酮支架和金属支架联合置入术被证明是治疗严重、广泛性和复杂性恶性气道狭窄患者的一种安全选择。
