Wide sleeve resection of lower trachea through anterior approach with omentopexy.
A 61-year-old man with tracheal adenoid cystic carcinoma (case 1) and a 28-year-old woman with benign tracheal stenosis (case 2) were treated with sleeve resection of the lower trachea through a median sternotomy and prophylactic omental wrapping. The resected tracheas were 4.5 cm (case 1) and 4.0 cm (case 2) in length. Both patients had an uneventful course after surgery despite postoperative irradiation in case 1 and preoperative infection with methicillin-resistant Staphylococcus aureus in case 2.
Yoshino
Ichiro
I
Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. iyoshino@surg2.med.kyushu-u.ac.jp
Yamaguchi
Masafumi
M
Kakeji
Yoshihiro
Y
Ichinose
Yukito
Y
Maehara
Yoshihiko
Y
D000328:Adult; D000714:Anastomosis, Surgical / Q000379:methods; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D003528:Carcinoma, Adenoid Cystic / Q000532:radiotherapy / Q000601:surgery*; D020803:Encephalitis, Herpes Simplex / Q000628:therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects; D008297:Male; D016106:Methicillin Resistance; D008875:Middle Aged; D009852:Omentum / Q000601:surgery*; D011300:Preoperative Care; D012008:Recurrence; D012121:Respiration, Artificial / Q000009:adverse effects; D013203:Staphylococcal Infections / Q000188:drug therapy; D013211:Staphylococcus aureus / Q000187:drug effects; D014132:Trachea / Q000601:surgery*; D014134:Tracheal Neoplasms / Q000532:radiotherapy / Q000601:surgery*; D014135:Tracheal Stenosis / Q000209:etiology / Q000601:surgery; D014640:Vancomycin / Q000008:administration & dosage
D000900:Anti-Bacterial Agents; D014640:Vancomycin