End-to-end anastomosis in chronic tracheal stenosis

• Published in: Auris, nasus, larynx Vol. 30; pp. 69 - 73
• Main Authors: Kato, Isao, Iwatake, Hiroya, Tsutsumi, Kouichiro, Koizuka, Izumi, Suzuki, Hachiro, Nakamura, Tadashi
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier Ireland Ltd 01.02.2003
• Subjects: Adenocarcinoma - complications; Adenocarcinoma - surgery; Adolescent; Adult; Aged; Anastomosis, Surgical - methods; Chronic; Chronic Disease; End-to-end anastomosis; Female; Humans; Intubation, Intratracheal - adverse effects; Male; Middle Aged; Recurrent Laryngeal Nerve Injuries; Thyroid Neoplasms - complications; Thyroid Neoplasms - surgery; Trachea - injuries; Trachea - surgery; Tracheal stenosis; Tracheal Stenosis - etiology; Tracheal Stenosis - surgery; Tracheostomy - adverse effects; Treatment Outcome; Wounds, Nonpenetrating - complications; Wounds, Nonpenetrating - surgery; Tracheal stenosis; Chronic; End-to-end anastomosis
• ISSN: 0385-8146; 1879-1476
• DOI: 10.1016/S0385-8146(02)00120-7

Objective: This study assessed the efficacy and safety of end-to-end anastomosis of the trachea following segmental resection in chronic tracheal stenosis. Methods: End-to-end anastomoses of the trachea were performed in 35 patients with chronic tracheal stenosis; 18 patients with tracheal invasion of thyroid cancer and 17 patients with long-term intubation and blunt injuries of the trachea. Results: All operations were successful, except one whose unilateral recurrent nerve had not been identified in the recurrent thyroid cancer invasion with trachea. Conclusion: This operation provides a one-step cure for the stenosed trachea and can be applied to the resection of less than six tracheal segments.