RT Book, Section
A1 Berry, Mark F.
A1 Friedberg, Joseph S.
A2 Sugarbaker, David J.
A2 Bueno, Raphael
A2 Colson, Yolonda L.
A2 Jaklitsch, Michael T.
A2 Krasna, Mark J.
A2 Mentzer, Steven J.
A2 Williams, Marcia
A2 Adams, Ann
SR Print(0)
ID 1105841594
T1 Techniques of Tracheal Resection
T2 Adult Chest Surgery, 2e
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-178189-3
LK accesssurgery.mhmedical.com/content.aspx?aid=1105841594
RD 2024/04/25
AB The  need  for  tracheal  resection  and  reconstruction  arises  with  airway  obstruction  (<5  mm  luminal  diameter)  secondary  to  postintubation  stenosis,  primary  or  secondary  benign  or  malignant  tumors,  or  trauma.  Patients  who  present  acutely  with  symptoms  of  stridor  should  be  stabilized  first  by  establishing  a  clear  airway.  Resection  and  repair  are  often  delayed  to  permit  adequate  time  for  radiologic  and  diagnostic  studies  to  aid  in  surgical  planning.  Emergency  tracheal  resection  is  rarely  warranted.  Lack  of  a  suitable  prosthetic  replacement  for  the  trachea  limits  the  amount  of  this  organ  that  can  be  resected  without  placing  undue  tension  on  the  anastomosis  (maximum  resection  length  5  cm).  For  this  reason,  the  initial  operation  must  be  well  planned  and  executed.  Anastomotic  dehiscence  and  other  late  complications  of  an  unsuccessful  first  operation  are  difficult  to  reverse  given  the  limited  material  the  surgeon  has  to  effect  a  repair.