Zitti E, Făgărăşanu D, Brand L, Atanasiu D, Dumitrescu V, Dumitrescu M, Micu D, Haicău G
Rev Chir Oncol Radiol O R L Oftalmol Stomatol Chir. 1982 May-Jun;31(3):161-8.
The authors present, in the light of their personal experience acquired in the performance of surgical interventions on the trachea (a total of 13 interventions in 11 patients), some particularities of the surgical technique, as well as of the anesthetic procedures capable to improve the immediate and the late results of these interventions. The techniques suggested are aimed at preventing the operatory risks in the surgical procedures on the trachea, which is classified by the authors in three groups: tracheal risks, vascular risks, and anesthetic risks. The validity of these techniques is confirmed by the success of the surgical procedures applied, followed by the definitive recovery of the patients which were operated with the most recent experience of the authors. Two clinical observations are presented: a case of circumferential resection of the trachea in the mediastinal portion for cicatriceal stenosis, followed by termino-terminal anastomosis, and a case of cuneiform resection of the trachea in its supracarenal section for tumoral stenosis.
作者根据其在气管外科手术(11例患者共13次手术)中积累的个人经验,介绍了手术技术的一些特点,以及能够改善这些手术近期和远期效果的麻醉程序。所建议的技术旨在预防气管外科手术中的手术风险,作者将其分为三类:气管风险、血管风险和麻醉风险。应用的手术程序取得成功,随后作者以最新经验进行手术的患者最终康复,证实了这些技术的有效性。文中呈现了两个临床病例:一例因瘢痕性狭窄对纵隔段气管进行环形切除,随后进行端端吻合;另一例因肿瘤性狭窄对肾上腺上段气管进行楔形切除。