Anesthesia and operative approach of resection of the trachea

Review and discuss anesthesia and operative approach of resection of the trachea for different tracheal diseases, especially for the resection of long-segment of trachea. At the same time to introduce the method of reconstruction of long-segment of trachea with Zhao's (two-stage procedure with...

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Published inChung-hua wai kʿo tsa chih Vol. 43; no. 2; p. 83
Main Authors Zhao, Feng-rui, Zhang, Yin-he, Yang, Jin-long, Xing, Xue-zhong, Yun, Kuo
Format Journal Article
LanguageChinese
Published China 15.01.2005
Subjects
Adolescent
Adult
Aged
Anesthesia, General - methods
Anesthesia, Local
Artificial Organs
Extracorporeal Circulation
Female
Humans
Intubation, Intratracheal
Male
Middle Aged
Prosthesis Implantation
Retrospective Studies
Thoracotomy
Tracheal Diseases - surgery
Tracheotomy - methods
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Summary:Review and discuss anesthesia and operative approach of resection of the trachea for different tracheal diseases, especially for the resection of long-segment of trachea. At the same time to introduce the method of reconstruction of long-segment of trachea with Zhao's (two-stage procedure with memory-alloy mesh) artificial trachea. Retrospective study of 18 cases of tracheal resection, analysis of the relation between the choice of anesthetic and operative approach. General anesthesia through cut open the trachea with local anesthesia in 2 cases, general anesthesia through previous tracheotomy in 2 cases, extracorporeal circulation in 2 cases, general anesthesia through endotracheal tube in 12 cases. There were no anesthetic or operative death. Local resection in 3 cases, segmental resection in 15 cases. The longest segmental resection was 8.0 cm. Primary anastomosis after segmental resection in 8 cases, Reconstruction with Zhao's artificial trachea in 7 cases. Postoperative follow-up was 5 months to 8 years.
ISSN:0529-5815