Perioperative management for primary tracheal malignant tumors resected under cardiopulmonary bypass.
- Author:
Zhen-zong DU
1
;
Hua REN
;
Jian-fei SONG
;
Chao-ji ZHANG
;
Hong-quan YU
;
Qi MIAO
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Carcinoma, Adenoid Cystic; physiopathology; surgery; Cardiopulmonary Bypass; Dyspnea; surgery; Female; Humans; Male; Middle Aged; Perioperative Care; Respiration, Artificial; Retrospective Studies; Tracheal Neoplasms; physiopathology; surgery; Tracheotomy; methods
- From: Chinese Journal of Oncology 2006;28(2):148-150
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo retrospectively review the perioperative management for primary tracheal malignant tumors resected under cardiopulmonary bypass.
METHODSThe data of 6 patients with primary tracheal malignant tumors who underwent surgery under cardiopulmonary bypass from December 1999 to August 2003 were reviewed. Cardiopulmonary bypass was established through right femoral vessels in 2 patients for emergency operation, through right atrium and ascending aorta in 4 patients. Sleeve tracheal resections in 3 patients, carinal resections and carina reconstructions in 2, and local enucleation in 1 were performed. Respiratory airway was kept patent by coughing and expectorating sputum.
RESULTSAll patients' dyspnea were relieved remarkably. The postoperative mechanic ventilation assistance lasted from 10 hours to 7 days. There was no perioperative mortality.
CONCLUSIONResection of primary tracheal malignant tumors with severe tracheal obstruction under cardiopulmonary bypass is practicable. Keeping respiratory airway patent perioperatively is very important and helpful to postoperative recovery.
