改良螺旋气管成形术在气管受侵甲状腺癌中的应用:15 例病例的回顾性分析。

IF 2.5 3区 医学 Q3 ONCOLOGY World Journal of Surgical Oncology Pub Date : 2024-10-03 DOI:10.1186/s12957-024-03541-z
Mengmeng Li, Qinglai Tang, Xinming Yang, Qian Yang, Miao Zeng, Yuming Zhang, Peiying Huang, Danhui Yin, Shisheng Li
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引用次数: 0

摘要

背景:描述改良螺旋气管成形术在甲状腺切除术后气管缺损重建中的适应症、技术和初步经验:目的:描述改良螺旋气管成形术在甲状腺切除术后重建巨大气管缺损中的适应症、技术和初步经验:回顾性分析2019年1月至2022年1月甲状腺癌术后行气管扭转术修复巨大气管缺损患者的病历。分析了气管缺损范围、气管重建持续时间、术后并发症和手术结果:气管重建时间为30-60分钟。结果:气管重建时间为 30-60 分钟,无术后出血、切口感染和气管造口狭窄。5例患者出现喉返神经麻痹。所有患者均接受了24至60个月的随访。2年总生存率为100%,2年气管局部控制率为100%,2年无肿瘤生存率为81.8%:结论:改良螺旋气管成形术是修复甲状腺癌侵犯气管后巨大气管缺损的一种安全有效的方法。
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Application of modified spiral tracheoplasty in thyroid carcinoma with trachea invasion: a retrospective analysis of 15 cases.

Background: To describe the indications, techniques and preliminary experience of modified spiral tracheoplasty in the reconstruction of large tracheal defect after thyroidectomy.

Methods: The medical records of patients who underwent tracheal torsion to repair large tracheal defects after thyroid carcinoma surgery from January 2019 to January 2022 were retrospectively reviewed. The extent of tracheal defect, duration of tracheal reconstruction, postoperative complications and surgery results were analyzed.

Results: The duration of tracheal reconstruction was 30-60 min. No postoperative bleeding, incision infection, tracheostomy stenosis occurred. Recurrent laryngeal nerve palsy occurred in 5 patients. All patients were followed up for 24 to 60 months. The 2-year overall survival rate was 100%, the 2-year local control rate of trachea was 100%, and the 2-year tumor-free survival rate was 81.8%.

Conclusion: The modified spiral tracheoplasty is a safe and effective method to repair the large defect of trachea after thyroid carcinoma invading the trachea.

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来源期刊
CiteScore
4.70
自引率
15.60%
发文量
362
审稿时长
3 months
期刊介绍: World Journal of Surgical Oncology publishes articles related to surgical oncology and its allied subjects, such as epidemiology, cancer research, biomarkers, prevention, pathology, radiology, cancer treatment, clinical trials, multimodality treatment and molecular biology. Emphasis is placed on original research articles. The journal also publishes significant clinical case reports, as well as balanced and timely reviews on selected topics. Oncology is a multidisciplinary super-speciality of which surgical oncology forms an integral component, especially with solid tumors. Surgical oncologists around the world are involved in research extending from detecting the mechanisms underlying the causation of cancer, to its treatment and prevention. The role of a surgical oncologist extends across the whole continuum of care. With continued developments in diagnosis and treatment, the role of a surgical oncologist is ever-changing. Hence, World Journal of Surgical Oncology aims to keep readers abreast with latest developments that will ultimately influence the work of surgical oncologists.
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