Surgery for patients with thyroid carcinoma invading the trachea: Circumferential sleeve resection followed by end-to-end anastomosis

Ozaki, Osamu; Sugino, Kiminori; Mimura, Takashi; Ito, Kunihiko

doi:10.1016/s0039-6060(05)80200-4

Cited by 83 publications

(64 citation statements)

References 14 publications

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“…This explains the importance of preoperative patient selection, the respect of the rules to obtain a tension free anastomosis and to reduce the risk of recurrent laryngeal nerve injury, infections and bleeding. Furthermore, the risk of postoperative morbidity can be reduced performing this surgical procedure in high volume centers where the postoperative mortality ranges from 0 to 3% (15,19,30,32).…”

Section: Discussionmentioning

confidence: 99%

Complications from tracheal resection for thyroid carcinoma

Rotolo¹,

Cattoni²,

Imperatori³

2017

Gland Surg.

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Section: Discussionmentioning

confidence: 99%

Complications from tracheal resection for thyroid carcinoma

Rotolo¹,

Cattoni²,

Imperatori³

2017

Gland Surg.

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“…In this study we investigated three frequently described suturing techniques: A continuous suture with a nonabsorbable monofilament material (polypropylene), a single interrupted suture with multifilament (polyglactin 910) and a monofilament (polydioxanone) suture. These materials and techniques are not only a selection from literature, but also represent the personal taste and experience of outstanding experts [9,[16][17][18][27][28][29][30].…”

Section: Discussionmentioning

confidence: 99%

Breaking Strength of Native and Sutured Trachea

Behrend¹,

Kluge²,

Schüttler³

et al. 2001

Eur Surg Res

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Tracheal anastomoses are, even more so than other sutures, often only possible to prepare under tension and thus in danger of breakage. No information is available regarding native tracheae and freshly sutured tracheae. For this reason, our objective was to examine the tensile strength of native tracheae and compare it with freshly sutured specimens. Fresh tracheae were collected from the local slaughterhouse within 30 min of slaughter. With the help of a suitable holding device, 24 fresh tracheae were mounted on a material testing machine and stretched to breaking point, during which the force and distance required were recorded. The same study was carried out on each 10 freshly anastomosed tracheae using three different suturing techniques. The mean value of the maximum force required for native tracheae was 198 N. With continuous suturing (polypropylene), a mean value of 171 N was attained, and with single interrupted suturing (polydioxanone and polyglactin 910), 123 N, respectively, 108 N. Differences between the groups proved to be highly significant. With respect to the mechanical strain from traction, the continuous suture proved to be statistically identical to native tracheae, whereas single interrupted sutures revealed a considerably lower stability under burden. Therefore, the continuous suture is of advantage in respect of the mechanical strain from traction and the suture protection of tracheal anastomoses. Further studies with differing survival times in vivo with this method provide insight into the stability of tracheal anastomoses during the healing process.

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“…These materials and techniques are not only a selection from existing literature, but also represent the personal preference and experience of outstanding experts [3,10,14,17,[30][31][32][33].…”

Section: Discussionmentioning

confidence: 99%

“…The personal experience gained in tracheal resection and reconstruction in differentiated thyroid carcinomas in our institution is the subject of one of the largest series of publications [2]. In recent years it has become apparent that cartilage shaving is not a sufficient procedure for the treatment of tracheal infiltration [3][4][5]. Limited 'window' resections are persistently reported, although the results are inferior [6].…”

Section: Introductionmentioning

confidence: 99%

“…Differences apply to the tracheal resection (split ring technique vs. annular ligament technique), the use of tension sutures, the placement of sutures (submucosally vs. full thickness), the suture technique (continuous, mattress sutures, single interrupted), and the suture material (nonabsorbable, absorbable, mono-or multifilament) [3,[9][10][11][12][13][14][15][16][17][18][19][20].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Influence of Suture Material and Technique on End-to-End Reconstruction in Tracheal Surgery: An Experimental Study in Sheep

Behrend¹,

Klempnauer²

2001

Eur Surg Res

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Resection and end-to-end anastomosis of the trachea represent the preferred treatment for various benign and malignant diseases involving the trachea. Various studies have reported conflicting results with alternative techniques and suture materials for tracheal anastomosis. Our objective was to evaluate three frequently used techniques concerning stenosis rate and histological reaction in a large-animal species. Tracheal resection of 3 cm and end-to-end anastomosis were performed in 15 sheep with the use of three different techniques. In the first group, an interrupted suture with polyglactin, in the second group an interrupted suture with polydioxanone, and in the last group a continuous suture with polypropylene were used. The animals were killed 1, 2, 4, 8, and 24 weeks postoperatively. The luminal stenosis was determined by means of computerized planimetry. All three techniques appeared to be appropriate for tracheal anastomosis. The luminal stenosis developed within the first 8 weeks after surgery. A cross-sectional area of approximately 40–70% was finally achieved. Differences dependent on the suture material are less important than the technical details of the operation.

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Surgery for patients with thyroid carcinoma invading the trachea: Circumferential sleeve resection followed by end-to-end anastomosis

Cited by 83 publications

References 14 publications

Complications from tracheal resection for thyroid carcinoma

Complications from tracheal resection for thyroid carcinoma

Breaking Strength of Native and Sutured Trachea

Influence of Suture Material and Technique on End-to-End Reconstruction in Tracheal Surgery: An Experimental Study in Sheep

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