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The Journal of Thoracic and Cardiovascular Surgery, Vol 102, 717-720, Copyright © 1991 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
T Ishihara, K Kobayashi, K Kikuchi, R Kato, M Kawamura and K Ito
Operative methods, in relation to the completeness of resection and
surgical results, and postoperative complications, in relation to operative
methods, were discussed in 60 patients with advanced thyroid carcinoma in
whom tumor invading the trachea was resected along with thyroid carcinoma.
Laryngotracheal anastomosis was performed in 41 patients and
tracheotracheal anastomosis in 19 patients. Complete resection was
performed in 22 patients in the former group and in 12 patients in the
latter group. Three-, 5-, and 10-year survival rates in patients undergoing
complete resection were 87.0%, 78.1%, and 78.1%, respectively. Those for
patients undergoing incomplete resection were 64.9%, 43.7%, and 24.3%,
respectively. The locations of remaining tumor were the tracheal stump in
patients in whom resection was incomplete. In four patients with esophageal
invasion, the muscular layer of the esophagus was resected. Three of these
patients had good postoperative results. Postoperative complications
consisted of stenosis at the anastomosis in two patients, temporary
mis-swallowing in three patients, temporary lower pharyngeal stenosis in
one patient, temporary vocal cord edema in one patient, and tetany in two
patients.
ARTICLES
Surgical treatment of advanced thyroid carcinoma invading the trachea
Department of Surgery, School of Medicine, Keio University, Tokyo, Japan.
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