11例颈段气管肿瘤的外科治疗

Surgical Management for 11 Cases of Cervical Tracheal Carcinoma

目的:探讨长段(切除长度≥6cm)颈部气管肿瘤行人工气管替代的外科手术治疗经验.方法:本院于1992年3月～2001年5月共对11例颈段气管肿瘤患者进行了自制的人工气管替代手术,其中原发性气管肿瘤5例,继发性气管肿瘤6例.手术方式均行全喉切除、气管切除、部分食管切除、人工气管远端造口术.结果:手术切除率100%.全组无手术死亡,术后并发症包括吻合口肉芽2例,颈部切口感染1例.随访2±3.5年,所有患者均生存良好.结论:使用人工气管替代颈段气管肿瘤切除后的长段缺损,可明显提高手术切除率和改善患者的生存质量.

Objective: To explore surgical treatment of the experience of tracheal prosthesis substitution of the long segment defection(Resectional length≥6cm) of cervical tracheal carcinoma. Methods: From 1992.3 to 2001.5,14 patients with the cervical tracheal carcinoma underwent tracheal prosthesis substitution operation, including primary tracheal carcinoma in 5 cases, secondary tracheal carcinoma in 6 cases. 11 patients underwent laryngectomy?resection of trachea? partial esophagectomy and distal of tracheal prosthesis ostomy. Results: The resectability of cervical tracheal carcinoma was 100%. there was no mortality in our study, postoperative complication involved granulation of stoma in 2 cases, infection of incisional wound of cervical in 1 case,The overall follow-up was from 2±3.5years,All patients were survival well. Conclusions: Surgical resection of cervical tracheal carcinoma with artificial tracheal substitution operation can increase the resectability of cervical tracheal carcinoma and promote the survival quality of the patient with tracheal carcinoma.