A novel technique for securing tracheal blood supply in salvage anterior mediastinal tracheostomy
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- 作者：Takushi Yasuda ; tyasuda@surg.med.kindai.ac.jp" class="auth_mail" title="E-mail the corresponding author ; Masayuki Shinkai ; Osamu Shiraishi ; Shunsuke Sogabe
- 关键词：Anterior mediastinal tracheostomy ; Tracheal blood supply ; Esophageal cancer ; Lateral longitudinal anastomosis ; Salvage surgery
- 刊名：International Journal of Surgery Case Reports
- 出版年：2015
- 出版时间：2015
- 年：2015
- 卷：14
- 期：Complete
- 页码：112-116
- 全文大小：2032 K
文摘
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This is the first report of the novel surgical procedure to maintain the tracheal blood supply in anterior mediastinal tracheostomy.
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The longer tracheal stump makes easier to create a tracheostomy, but has a disadvantage for its blood supply.
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The unaffected-sided tracheal sheath was preserved in a state of connecting with the ipsilateral lobe of the thyroid gland and the tracheal stump.
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The trachea was cut diagonally, leaving the unaffected tracheal wall longer.
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This technique enables to secure the blood supply of the tracheal stump and to prevent postoperative fatal complications.