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Resection of Tracheal Cylindroma Using Cardiopulmonary Bypass

Resection of Tracheal Cylindroma Using Cardiopulmonary Bypass Abstract Surgical resection of primary tumors of the cervical or upper thoracic trachea is usually carried out by performing the resection over a cuffed endotracheal tube which has been passed into the distal trachea or a main stem bronchus.1-6 However, location of a tumor at/or close to the carina poses problems in adequate ventilation during the period of resection. The use of extracorporeal circulation to support cardiopulmonary function during resection of the primary tracheal tumor has been reported twice previously. Woods7 in 1961 used this method for removal of a recurrent cylindroma of the distal trachea. Nissen8 also in 1961 used extracorporeal circulation and hypothermia to resect a malignant adenoma of the distal trachea. The purpose of this communication is to report a third case of cylindroma of the distal trachea which was successfully resected with this technique, with utilization of Marlex mesh for tracheal reconstruction. Report of References 1. Clagett, O. T.; Moersch, H. J.; and Grindlay, J.: Intrathoracic Tracheal Tumors: Development of Surgical Technic for Their Removal , Ann Surg 136:520, 1952. 2. Björk, V. O.; Carlens, E.; and Crafoord, C.: The Open Closure of the Bronchus and the Resection of the Carina and Tracheal Wall , J Thorac Surg 23:419, 1952. 3. Waddel, W.: Extensive Resection of the Trachea for Carcinoma , Trans Amer Acad Ophthal Otolaryng 63:761, 1959. 4. Barclay, R. S.; McSwan, N.; and Welsh, T. M.: Tracheal Reconstruction Without the Use of Grafts , Thorax 12:177, 1957.Crossref 5. Parrish, C. M., and Jones, R.: Primary Tracheal Tumors , Amer Surg 26:95, 1960. 6. Hardin, C., and Fitzpatrick, M.: Primary Carcinoma of the Carina and Bifurcation Successfully Treated by Resection and Reconstruction , Surgery 46:534, 1960. 7. Woods, F.; Neptune, W.; and Palatchi, A.: Resection of the Carina and Main Stem Bronchi With Extracorporeal Circulation , New Eng J Med 264:492, 1961.Crossref 8. Nissen, V. R.: Extrakorpelle Zirkulation für langdauernde (30 Minuten) Atemunterbrechung zur Operation bifurkationsnaher Trachealgeschwülste , Shweiz Med Wschr 91:957, 1961. 9. McDonald, J. R.; Clark, P. L.; and Clagett, O. T.: Cylindroma of the Trachea , Proc Mayo Clin 28:513, 1953. 10. Weisel, W.; Claudon, D. B.; and Darin, J. C.: Tracheal Adenoma in Juxtaposition With Mediastinal Bronchogenic Cyst , J Thorac Cardiov Surg 37:687, 1959. 11. Beall, A.; Harrington, O. B.; Greenberg, S. D.; and Morris, G. C.: Tracheal Replacement With Heavy Marlex Mesh , Arch Surg 84:390, 1962.Crossref 12. Harrington, O. B.; Beall, A.; Morris, G.; and Usher, F.: Circumferential Replacement of the Trachea With Marlex Mesh , Amer Surg 28:217, 1962. 13. Ellis, P. R.; Harrington, O. B.; Beall, A.; and DeBakey, M. E.: The Use of Heavy Marlex Mesh for Tracheal Reconstruction Following Resection for Malignancy , J Thorac Cardiov Surg 44:520, 1962. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Resection of Tracheal Cylindroma Using Cardiopulmonary Bypass

ADKINS, PAUL C.; IZAWA, EDWARD M.
Archives of Surgery , Volume 88 (3) – Mar 1, 1964
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References (17)

Publisher
American Medical Association
Copyright
Copyright © 1964 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1964.01310210079012
Publisher site
See Article on Publisher Site

Abstract

Abstract Surgical resection of primary tumors of the cervical or upper thoracic trachea is usually carried out by performing the resection over a cuffed endotracheal tube which has been passed into the distal trachea or a main stem bronchus.1-6 However, location of a tumor at/or close to the carina poses problems in adequate ventilation during the period of resection. The use of extracorporeal circulation to support cardiopulmonary function during resection of the primary tracheal tumor has been reported twice previously. Woods7 in 1961 used this method for removal of a recurrent cylindroma of the distal trachea. Nissen8 also in 1961 used extracorporeal circulation and hypothermia to resect a malignant adenoma of the distal trachea. The purpose of this communication is to report a third case of cylindroma of the distal trachea which was successfully resected with this technique, with utilization of Marlex mesh for tracheal reconstruction. Report of References 1. Clagett, O. T.; Moersch, H. J.; and Grindlay, J.: Intrathoracic Tracheal Tumors: Development of Surgical Technic for Their Removal , Ann Surg 136:520, 1952. 2. Björk, V. O.; Carlens, E.; and Crafoord, C.: The Open Closure of the Bronchus and the Resection of the Carina and Tracheal Wall , J Thorac Surg 23:419, 1952. 3. Waddel, W.: Extensive Resection of the Trachea for Carcinoma , Trans Amer Acad Ophthal Otolaryng 63:761, 1959. 4. Barclay, R. S.; McSwan, N.; and Welsh, T. M.: Tracheal Reconstruction Without the Use of Grafts , Thorax 12:177, 1957.Crossref 5. Parrish, C. M., and Jones, R.: Primary Tracheal Tumors , Amer Surg 26:95, 1960. 6. Hardin, C., and Fitzpatrick, M.: Primary Carcinoma of the Carina and Bifurcation Successfully Treated by Resection and Reconstruction , Surgery 46:534, 1960. 7. Woods, F.; Neptune, W.; and Palatchi, A.: Resection of the Carina and Main Stem Bronchi With Extracorporeal Circulation , New Eng J Med 264:492, 1961.Crossref 8. Nissen, V. R.: Extrakorpelle Zirkulation für langdauernde (30 Minuten) Atemunterbrechung zur Operation bifurkationsnaher Trachealgeschwülste , Shweiz Med Wschr 91:957, 1961. 9. McDonald, J. R.; Clark, P. L.; and Clagett, O. T.: Cylindroma of the Trachea , Proc Mayo Clin 28:513, 1953. 10. Weisel, W.; Claudon, D. B.; and Darin, J. C.: Tracheal Adenoma in Juxtaposition With Mediastinal Bronchogenic Cyst , J Thorac Cardiov Surg 37:687, 1959. 11. Beall, A.; Harrington, O. B.; Greenberg, S. D.; and Morris, G. C.: Tracheal Replacement With Heavy Marlex Mesh , Arch Surg 84:390, 1962.Crossref 12. Harrington, O. B.; Beall, A.; Morris, G.; and Usher, F.: Circumferential Replacement of the Trachea With Marlex Mesh , Amer Surg 28:217, 1962. 13. Ellis, P. R.; Harrington, O. B.; Beall, A.; and DeBakey, M. E.: The Use of Heavy Marlex Mesh for Tracheal Reconstruction Following Resection for Malignancy , J Thorac Cardiov Surg 44:520, 1962.

Journal

Archives of Surgery – American Medical Association

Published: Mar 1, 1964

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