Oizumi H, Murai K, Masaoka T, Fujishima T, Washio M, Kouno M
Second Department of Surgery, Yamagata University School of Medicine, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1993 Jan;41(1):145-7.
Twenty-four consecutive patients undergoing minitracheotomy were reviewed. Postoperative sputum retention was the major indication. In one case the procedure was not possible. Nineteen patients made an uneventful recovery, and decanulation was done in 17. In four patients minitracheotomy treatment was discontinued because formal tracheotomy was performed subsequently. This method is much simpler, less invasive, and more advantageous than formal tracheotomy. It can also be used for the patients after median sternotomy. On the other hand, in the patients with misswallowing because of recurrent nerve palsy etc., conventional tracheotomy should be performed.
对24例接受微创气管切开术的连续患者进行了回顾性研究。术后痰液潴留是主要指征。有1例无法进行该手术。19例患者恢复顺利，17例成功拔管。4例患者因随后进行了正规气管切开术而停止了微创气管切开术治疗。这种方法比正规气管切开术更简单、侵入性更小且更具优势。它也可用于正中胸骨切开术后的患者。另一方面，对于因喉返神经麻痹等导致吞咽困难的患者，应进行传统气管切开术。
