Non-circumferential tracheal resection with muscle flap reconstruction for adenoid cystic carcinoma

Itaru Ishida, Hiroyuki Oura, Hiromichi Niikawa, Masashi Handa

Research output: Contribution to journalArticle

6 Citations (Scopus)

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 9 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.

Original languageEnglish
Pages (from-to)603-606
Number of pages4
JournalGeneral thoracic and cardiovascular surgery
Volume60
Issue number9
DOIs
Publication statusPublished - 2012 Sep 1
Externally publishedYes

Keywords

  • Adenoid cystic carcinoma
  • Airway reconstruction
  • Tracheal resection

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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