[Perioperative management for primary tracheal malignant tumors resected under cardiopulmonary bypass].
OBJECTIVE
To retrospectively review the perioperative management for primary tracheal malignant tumors resected under cardiopulmonary bypass.


METHODS
The data of 6 patients with primary tracheal malignant tumors who underwent surgery under cardiopulmonary bypass from December 1999 to August 2003 were reviewed. Cardiopulmonary bypass was established through right femoral vessels in 2 patients for emergency operation, through right atrium and ascending aorta in 4 patients. Sleeve tracheal resections in 3 patients, carinal resections and carina reconstructions in 2, and local enucleation in 1 were performed. Respiratory airway was kept patent by coughing and expectorating sputum.


RESULTS
All patients' dyspnea were relieved remarkably. The postoperative mechanic ventilation assistance lasted from 10 hours to 7 days. There was no perioperative mortality.


CONCLUSIONS
Resection of primary tracheal malignant tumors with severe tracheal obstruction under cardiopulmonary bypass is practicable. Keeping respiratory airway patent perioperatively is very important and helpful to postoperative recovery.
Du
Zhen-zong
ZZ
Department of Cardiovascular Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, China. duzhenzong@sina.com
Ren
Hua
H
Song
Jian-fei
JF
Zhang
Chao-ji
CJ
Yu
Hong-quan
HQ
Miao
Qi
Q
D000328:Adult; D003528:Carcinoma, Adenoid Cystic / Q000503:physiopathology / Q000601:surgery*; D002315:Cardiopulmonary Bypass; D004417:Dyspnea / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019990:Perioperative Care; D012121:Respiration, Artificial; D012189:Retrospective Studies; D014134:Tracheal Neoplasms / Q000503:physiopathology / Q000601:surgery*; D014140:Tracheotomy / Q000379:methods