title: [Tracheal Resection and Primary Anastomosis for Adenoid Cystic Carcinoma Using an Extracorporeal Membrane Oxygenation].
abstract: We report a case of tracheal resection and primary anastomosis for adenoid cystic carcinoma using an extracorporeal membrane oxygenation (ECMO). A 45-year-old female was referred to our hospital because of a tracheal tumor that occupied most of the tracheal lumen. In case of airway obstruction by the tracheal tumor during anesthesia and operation, we decided to use ECMO before induction of general anesthesia. Under secure respiratory control using ECMO, tracheal resection and primary anastomosis was performed. Since histopathological examination revealed microscopically positive results at the surgical margin, postoperative adjuvant radiation therapy( 60 Gy/30 Fr) was conducted. Although a tracheal tumor is a relatively rare neoplasm, careful planning and a treatment strategy are necessary with special emphasis on the location and size of tumor. In this case, ECMO made a substantial contribution to secure respiratory control during surgery.
authors.affiliation: Department of Respiratory Surgery, Kure Medical Center and Chugoku Cancer Center, Kure, Japan.
authors.forename: Tomoo
authors.initials: T
authors.lastname: Yuba
authors.forename: Yoshinori
authors.initials: Y
authors.lastname: Yamashita
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Harada
authors.forename: Norifumi
authors.initials: N
authors.lastname: Tsubokawa
authors.forename: Hideki
authors.initials: H
authors.lastname: Nagata
authors.forename: Taiichi
authors.initials: T
authors.lastname: Takasaki
authors.forename: Shigeaki
authors.initials: S
authors.lastname: Kurita
authors.forename: Kiyoshi
authors.initials: K
authors.lastname: Fujii
mesh_terms: D000402:Airway Obstruction / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D003528:Carcinoma, Adenoid Cystic / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery* / Q000628:therapy; D003131:Combined Modality Therapy; D015199:Extracorporeal Membrane Oxygenation; D005260:Female; D006801:Humans; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D014132:Trachea / Q000601:surgery*; D014134:Tracheal Neoplasms / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery* / Q000628:therapy; D016896:Treatment Outcome