Li Zi-Hao, Dong Bo, Wu Chun-Li, Li Shi-Hao, Wu Bin, Sheng Yin-Liang, Li Feng, Qi Yu
Department of Thoracic Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Front Surg. 2022 Apr 4;9:859432. doi: 10.3389/fsurg.2022.859432. eCollection 2022.
Primary tracheal tumors are seldom seen, and most of them are malignant. At present, the main treatment is surgical resection. It is rare to accomplish tracheal tumor resection and tracheoplasty via uniportalal thoracoscopy. In order both to maintain the patient's oxygen supply during surgery and to reduce the size of the surgical incision, we have innovatively integrated the ECMO-assisted and uniportal thoracoscopic techniques for the first time, perfectly achieving tracheal tumor resection and tracheoplasty. The intraoperative manipulation was only 180 min in duration. The patient returned to the intensive care unit and recovered smoothly after the surgery. The patient was discharged from the hospital 17 days after the operation. ECMO-assisted uniportal thoracoscopic tracheal resection and tracheoplasty provides a new idea and method for colleagues.
原发性气管肿瘤很少见,且大多数为恶性。目前,主要治疗方法是手术切除。通过单孔胸腔镜完成气管肿瘤切除及气管成形术十分罕见。为了在手术过程中维持患者的氧气供应并减小手术切口尺寸,我们首次创新性地将体外膜肺氧合(ECMO)辅助技术与单孔胸腔镜技术相结合,完美实现了气管肿瘤切除及气管成形术。术中操作时长仅180分钟。术后患者返回重症监护病房并顺利康复。术后17天患者出院。ECMO辅助单孔胸腔镜气管切除及气管成形术为同行提供了一种新的思路和方法。