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Japanese Journal of Clinical Oncology 9:247-254 (1979)
© 1979 Foundation for Promotion of Cancer Research

research-article

A New Technique for Reconstruction of the Cervical Trachea for the Treatment of Thyroid Cancer with Tracheal Invasion

SATOSHI EBIHARA, M.D., HIROO SAITO, M.D., HAJIME YOSHIDA, M.D., ISAMU ONO, M.D., TADAO KONNO, M.D., HIYOSHIMARU OYAMADA, M.D.* and SHOJI TERUI, M.D.*

Division of Head and Neck National Cancer Center Hospital Tokyo
*Division of Radiodiagnosis National Cancer Center Hospital Tokyo

Reprint requests: Satoshi Ebihara, M.D., Division of Head and Neck, National Cancer Center Hospital, 5-1-1 Tsukiji, Chuo-ku, Tokyo 104, Japan.

Received September 29, 1979; We successfully reconstructed the airway after wide and circular resection of the trachea up to 12 rings for the treatment of advanced thyroid cancer. The technique is as follows:

  1. The affected trachea is resected widely and an end-to-end anastomosis of the cut ends of the remaining trachea with a half defect due to the insufficient tracheal wall is performed.
  2. The tracheostoma is built in the above defect.
  3. Later, the tracheostoma is closed with two sequential skin flaps.

We have applied this new technique to three patients so far, and have found no later complications. The technique seems to be very useful for the treatment of thyroid cancer with tracheal invasion.


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Radical Operation for Thyroid Carcinoma Invading the Trachea
Arch Surg, September 1, 1984; 119(9): 1046 - 1049.
[Abstract] [PDF]


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