Innovative Approaches in Tracheal Resection and Anastomosis Surgery: Integrating Extracorporeal Membrane Oxygenation for Enhanced Safety
- Author:
Joohyung SON
1
;
Bong Soo SON
;
Jong Myung PARK
;
Jeong Su CHO
;
Yeongdae KIM
;
Hoseok I
;
Do Hyung KIM
Author Information
- Publication Type:Original Article
- From:Yonsei Medical Journal 2025;66(5):289-294
- CountryRepublic of Korea
- Language:English
-
Abstract:
Purpose:Tracheal resection with end-to-end anastomosis (TREE) has many advantages over conservative treatment in terms of long-term results; however, this method requires improved safety and accessibility. We aimed to combine expanded venovenous extracorporeal membrane oxygenation (ECMO) during TREE surgery.
Materials and Methods:Between May 2006 and December 2022, 41 patients diagnosed with tracheal stenosis or tracheal tumors underwent TREE. The non-ECMO and ECMO groups were classified based on the presence or absence of intraoperative ECMO support.
Results:Reconstruction length was slightly longer in the ECMO group than in the non-ECMO group, but there was no statistical significance (p=0.082). There was no significant difference between the two groups in terms of operative time (p=0.698), estimated blood loss (p=0.210), and duration of mechanical ventilation (p=0.713). There was a significant difference in intensive care unit stay between the two groups (p=0.013) due to the postoperative maintenance of ECMO. There were no cases of early mortality in either group during hospitalization (p>0.999).
Conclusion:ECMO support could assist in more challenging cases as it makes surgery easier in difficult patient scenarios.
