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气管外科的现状：简要文献综述

State of the art in tracheal surgery: a brief literature review.

作者信息

Siciliani Alessandra, Rendina Erino Angelo, Ibrahim Mohsen

机构信息

Department of Thoracic Surgery, Sant'Andrea Hospital, Sapienza University of Rome, Rome, Italy.

出版信息

Multidiscip Respir Med. 2018 Sep 12;13:34. doi: 10.1186/s40248-018-0147-2. eCollection 2018.

DOI:10.1186/s40248-018-0147-2
PMID:30214724
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6134582/
Abstract

BACKGROUND

Tracheal surgery requires a highly specialized team of anesthesiologists, thoracic surgeons, and operative support staff. It remain a formidable challenge for surgeons due to the criticality connected to anatomical considerations, intraoperative airway management, technical complexity of reconstruction, and the potential postoperative morbidity and mortality.

MAIN BODY

This article focuses on the main technical aspects and literature data regarding laryngotracheal and tracheal resection and reconstruction. Particular attention will be paied to anastomotic and non-anastomotic complications.

SHORT CONCLUSION

Results from literature confirm that, when feasible, laryngotracheal and tracheal resection and reconstruction is the treatment of choice in cases of benign stricture and malign neoplasm. Careful patient selection, operative planning, and execution are required for optimal results.

摘要

背景

气管手术需要由麻醉医生、胸外科医生和手术支持人员组成的高度专业化团队。由于与解剖学因素、术中气道管理、重建技术复杂性以及潜在的术后发病率和死亡率相关的关键性，气管手术对外科医生来说仍然是一项艰巨的挑战。

主体

本文重点关注喉气管和气管切除与重建的主要技术方面及文献数据。将特别关注吻合口和非吻合口并发症。

简短结论

文献结果证实，在可行的情况下，喉气管和气管切除与重建是良性狭窄和恶性肿瘤病例的首选治疗方法。为获得最佳结果，需要仔细选择患者、进行手术规划和执行手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00da/6134582/96ef4d79cbd0/40248_2018_147_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00da/6134582/29587d195274/40248_2018_147_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00da/6134582/410665ee6a09/40248_2018_147_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00da/6134582/1fc6d087c78c/40248_2018_147_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00da/6134582/d6e8a7739589/40248_2018_147_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00da/6134582/96ef4d79cbd0/40248_2018_147_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00da/6134582/29587d195274/40248_2018_147_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00da/6134582/410665ee6a09/40248_2018_147_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00da/6134582/1fc6d087c78c/40248_2018_147_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00da/6134582/d6e8a7739589/40248_2018_147_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00da/6134582/96ef4d79cbd0/40248_2018_147_Fig5_HTML.jpg

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A Novel Technique for Laryngotracheal Reconstruction for Idiopathic Subglottic Stenosis.
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