Can cancer trachea tumour cure?

summary

The incidence of primary tracheal tumor is lower than that of other parts of respiratory tract, such as lung cancer. Most of the primary tracheal tumors in adults are malignant, while most of the children are benign. The primary malignant tumors of trachea in adults account for 2% of the upper respiratory tract tumors. Although trachea tumors are rare, they often block the airway and cause ventilation disturbance, which seriously threatens the lives of patients. Radical resection and trachea reconstruction are still the best methods for the treatment of trachea tumors. Next, I'll tell you something.

Can cancer trachea tumour cure?

Local resection of the trachea and intermittent suture of the trachea wall incision can be used for local resection of the tumor with small endotracheal pedicle. When the base of trachea is wide or malignant, local "window" resection is usually used. The repair materials of trachea defect include Marlex mesh, silica gel, dacron, polydialdehyde ethanol tree, etc. We can also use autologous tissue such as pedicled myocutaneous flap or tracheal wall to repair defects, pericardium, costal cartilage, muscle and lung.

It is generally considered that the maximum length of trachea resection with end-to-end anastomosis is 6.8 cm. Some patients need laryngeal release and neck flexion fixation. For intrabronchial tumors, trachea sleeve resection is often performed in order to preserve the function of the distal healthy lung tissue, or in the elderly, the weak, and the patients with poor cardiopulmonary function who can not afford pneumonectomy.

Bronchial sleeve lobectomy includes sleeve lobectomy of right upper lobe, sleeve lobectomy of right upper and middle lobe, sleeve lobectomy of right middle and lower lobe, sleeve lobectomy of left upper lobe and sleeve lobectomy of left lower lobe. Because of the complexity of the operation and the high risk of the operation, the patient's physical condition should be considered before the operation, and whether there are other diseases such as chronic bronchitis, coronary heart disease, cardiac insufficiency, etc. smokers should give up smoking for at least two weeks (except for acute dyspnea).

matters needing attention

Whether the induction period can be safely passed is an important part of the operation. Induction is the most dangerous stage of anesthesia. In principle, no muscle relaxants are used for rapid intubation. The endotracheal tube passes through the stenosis as far as possible. If the inner diameter of the stenosis is small, it is difficult to pass the endotracheal intubation and it is difficult to breathe, surface anesthesia is often used for awake intubation. The choice of endotracheal intubation is very important, The right single lumen endobronchial tube with long mouth is usually used.