Wang Bin, Zhang Zhe, Guo Yuanwei, Yu Fenglei
Department of Thoracic Surgery, The Second Xiangya Hospital of Central South University, Changsha, China.
Hunan Key Laboratory of Early Diagnosis and Precise Treatment of Lung Cancer, The Second Xiangya Hospital of Central South University, Changsha, China.
Front Surg. 2023 Jan 9;9:1086792. doi: 10.3389/fsurg.2022.1086792. eCollection 2022.
This study is the first to use an autologous pericardial patch combined with a 3D carbon fiber stent for the plastic repair of a large trachea defect. Radical surgery is the optimal therapy for primary malignant tracheal tumors. Tracheoplasty or repair is required to guarantee trachea integrity and normal ventilation function after tracheal tumor resection. Here, we present a case of plastic repair of the trachea using an autologous pericardial patch and a 3D custom-made carbon fiber stent. A 4 cm trachea defect was successfully repaired after resecting a malignant schwannoma. The postoperative ventilatory function was normal without obvious symptoms of discomfort. Fiberoptic bronchoscopy showed a smooth mucosal surface of the endotracheal wall and patency of the airway. CT scans performed 3 years after surgery showed no recurrence. Therefore, we can conclude that a 3D carbon fiber stent is feasible for abolishing patch floating and preventing tracheal stenosis.
本研究首次使用自体心包补片联合三维碳纤维支架对大型气管缺损进行整形修复。根治性手术是原发性恶性气管肿瘤的最佳治疗方法。气管肿瘤切除术后需要进行气管成形术或修复术以保证气管的完整性和正常通气功能。在此，我们报告一例使用自体心包补片和定制三维碳纤维支架进行气管整形修复的病例。切除恶性神经鞘瘤后成功修复了4厘米的气管缺损。术后通气功能正常，无明显不适症状。纤维支气管镜检查显示气管内壁黏膜表面光滑，气道通畅。术后3年进行的CT扫描显示无复发。因此，我们可以得出结论，三维碳纤维支架对于消除补片漂浮和预防气管狭窄是可行的。
