J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 2385KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 82(9): 963-967, 1981

Report on the annual meeting

EXTENSIVE RESECTION AND RECONSTRUCTION OF TRACHEA BY DIRECT ANASTMOSIS AND SKIN TUBE SUPPORTED BY PLASTIC RINGS

The Second Surgical Department, University of Tokyo Faculty of Medicine
Department of Thoracic Surgery, University of Tokyo Faculty of Medicine

Tsuyoshi Miura, Atsushi Oka, Kou Hidai, Yasutsugu Bandai, Tatsuo Wada, Tsuyoshi Yoshitake, Masahiro Saigusa

Reconstruction of cervical trachea following extended circumferential excision could be accomplished by a skin tube by infolding a bipedicled bridge of full thickness, autologous cervical skin and platysma in the midline, which is supported by inlying semirigid plastic rings. Eleven patients with tracheal invasion of thyroid cancer have been treated successfully with this technic following circumferential resection in 3 cases and partial resection in 8 cases.
But the trachea is best reconstructed after extensive resection by direct anastomosis. Anatomical study revealed that an average length of 6.6 cm of trachea may be resected in man by appropriate mobilization which permits primary anastomosis to be effected without extensive tension. Eleven patients with tracheal stenosis, 7 malignant tumors and 4 traumatic stenosis, have been successfully treated by direct anastmosis following circumferential excision of 2-5 cm.

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