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Non-circumferential tracheal resection with muscle flap reconstruction for adenoid cystic carcinoma

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Abstract

Circumferential airway resection with primary anastomosis has been widely adopted as a treatment for adenoid cystic carcinoma (ACC) of the trachea. However, carinal resection is a complicated procedure with high mortality and morbidity rates. We describe a technique of non-circumferential tracheal resection performed to treat ACC arising from the lower membranous trachea adjacent to the carina. The tumor was resected while preserving the tracheo-carinal cartilage. A silicone Y-stent was placed at the bifurcation to ensure airway patency before closing the defect. The airway defect, measuring 4 × 2.5 cm, was closed using an autologous pericardial patch and pedicled latissimus dorsi muscle flap. These procedures were technically easy, and no postoperative airway complication occurred.

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Authors and Affiliations

  1. Department of General Thoracic Surgery, Iwate Prefectural Central Hospital, 1-4-1 Ueda, Morioka, 020-0066, Japan

    Itaru Ishida, Hiroyuki Oura, Hiromichi Niikawa & Masashi Handa

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  1. Itaru Ishida
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  2. Hiroyuki Oura
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  3. Hiromichi Niikawa
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  4. Masashi Handa
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Correspondence to Itaru Ishida.

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Ishida, I., Oura, H., Niikawa, H. et al. Non-circumferential tracheal resection with muscle flap reconstruction for adenoid cystic carcinoma. Gen Thorac Cardiovasc Surg 60, 603–606 (2012). https://doi.org/10.1007/s11748-012-0062-y

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  • DOI: https://doi.org/10.1007/s11748-012-0062-y

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