改良螺旋状气管成形术在甲状腺癌气管受侵中的应用：15 例回顾性分析。
Application of modified spiral tracheoplasty in thyroid carcinoma with trachea invasion: a retrospective analysis of 15 cases.
机构信息
Department of Otorhinolaryngology Head and Neck Surgery, the Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, China.
Department of Operating Room, the Second Xiangya Hospital, Central South University, Changsha, 410011, Hunan, China.
出版信息
World J Surg Oncol. 2024 Oct 3;22(1):264. doi: 10.1186/s12957-024-03541-z.
BACKGROUND
To describe the indications, techniques and preliminary experience of modified spiral tracheoplasty in the reconstruction of large tracheal defect after thyroidectomy.
METHODS
The medical records of patients who underwent tracheal torsion to repair large tracheal defects after thyroid carcinoma surgery from January 2019 to January 2022 were retrospectively reviewed. The extent of tracheal defect, duration of tracheal reconstruction, postoperative complications and surgery results were analyzed.
RESULTS
The duration of tracheal reconstruction was 30-60 min. No postoperative bleeding, incision infection, tracheostomy stenosis occurred. Recurrent laryngeal nerve palsy occurred in 5 patients. All patients were followed up for 24 to 60 months. The 2-year overall survival rate was 100%, the 2-year local control rate of trachea was 100%, and the 2-year tumor-free survival rate was 81.8%.
CONCLUSION
The modified spiral tracheoplasty is a safe and effective method to repair the large defect of trachea after thyroid carcinoma invading the trachea.
背景
描述改良螺旋式气管成形术在甲状腺癌术后大段气管缺损重建中的适应证、技术要点及初步经验。
方法
回顾性分析 2019 年 1 月至 2022 年 1 月行气管扭转修复甲状腺癌术后大段气管缺损的患者的病历资料。分析气管缺损范围、气管重建时间、术后并发症及手术效果。
结果
气管重建时间为 3060 min。无术后出血、切口感染、气管造口狭窄。喉返神经麻痹 5 例。所有患者均随访 2460 个月。2 年总生存率为 100%，2 年气管局部控制率为 100%，2 年无瘤生存率为 81.8%。
结论
改良螺旋式气管成形术是一种安全有效的修复甲状腺癌侵犯气管所致大段气管缺损的方法。
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