title: Non-circumferential tracheal resection with muscle flap reconstruction for adenoid cystic carcinoma.
abstract: Circumferential airway resection with primary anastomosis has been widely adopted as a treatment for adenoid cystic carcinoma (ACC) of the trachea. However, carinal resection is a complicated procedure with high mortality and morbidity rates. We describe a technique of non-circumferential tracheal resection performed to treat ACC arising from the lower membranous trachea adjacent to the carina. The tumor was resected while preserving the tracheo-carinal cartilage. A silicone Y-stent was placed at the bifurcation to ensure airway patency before closing the defect. The airway defect, measuring 4 × 2.5 cm, was closed using an autologous pericardial patch and pedicled latissimus dorsi muscle flap. These procedures were technically easy, and no postoperative airway complication occurred.
authors.affiliation: Department of General Thoracic Surgery, Iwate Prefectural Central Hospital, 1-4-1 Ueda, Morioka 020-0066, Japan. iishida-ths@umin.ac.jp
authors.forename: Itaru
authors.initials: I
authors.lastname: Ishida
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Oura
authors.forename: Hiromichi
authors.initials: H
authors.lastname: Niikawa
authors.forename: Masashi
authors.initials: M
authors.lastname: Handa
mesh_terms: D001999:Bronchoscopy; D003528:Carcinoma, Adenoid Cystic / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000601:surgery*; D010496:Pericardium / Q000637:transplantation; D019651:Plastic Surgery Procedures; D015607:Stents; D013524:Surgical Flaps; D014057:Tomography, X-Ray Computed; D014134:Tracheal Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D014140:Tracheotomy / Q000295:instrumentation; D016896:Treatment Outcome