TY - CHAP M1 - Book, Section TI - Techniques of Tracheal Resection 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 PY - 2015 T2 - Adult Chest Surgery, 2e 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. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accesssurgery.mhmedical.com/content.aspx?aid=1105841594 ER -