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Case Reports
. 2018 Aug 7;2018(8):rjy201.
doi: 10.1093/jscr/rjy201. eCollection 2018 Aug.

Tracheal segmental resection for tracheal cancer: comparison of cervical collar incision with median sternotomy and posterolateral incision

Yusuke Takanashi  1   2 , Shun Matsuura  3 , Hiroshi Neyatani  2 , Kazuhito Funai  1
Affiliations
Case Reports

Tracheal segmental resection for tracheal cancer: comparison of cervical collar incision with median sternotomy and posterolateral incision

Yusuke Takanashi et al. J Surg Case Rep. .

Abstract

We compare two surgical approaches for segmental tracheal resection for tracheal cancer: cervical collar incision with median sternotomy and right posterolateral incision. In case one, a 46-year-old woman presented with adenoid cystic carcinoma, measuring 4.5 cm longitudinally, located at the junction of the cervical and mediastinal trachea. Cervical collar incision with median sternotomy provided a good exposure of the entire trachea. Although a relatively long tracheal resection (5.0 cm) was required, sufficient mobilization of the entire trachea facilitated low-tension anastomosis. In case 2, a 39-year-old man presented with squamous cell carcinoma, measuring 1.8 cm longitudinally, located at the lower trachea 1.8 cm from the carina to the proximal side. Right posterolateral incision provided a good exposure of the lower trachea. Although the required tracheal resection was relatively short (3.0 cm), the anastomotic tension was high. The high anastomotic tension was likely attributed to the limited mobilization of the proximal trachea.

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Figures

Figure 1:
Figure 1:
Chest computed tomography revealed a mass (arrow), measuring 4.5 cm along the longitudinal axis of the trachea, involving the right wall of the junction of the cervical and mediastinal tracheae (a). Cervical collar incision with median sternotomy provided sufficient mobilization of the entire trachea; from the cervical level to the left and right main bronchi origins (b). The resected specimen measured 5.0 cm (eight tracheal cartilage rings) longitudinally (c).
Figure 2:
Figure 2:
Computed tomography revealed a mass (arrow), measuring 1.8 cm longitudinally, involving the right wall of the lower trachea (a). Right posterolateral incision provided sufficient exposure of the lower trachea (b). The resected specimen measured 3.0 cm (six tracheal cartilage rings) longitudinally (c). Ao, Aorta; SVC, superior vena cava; PA, pulmonary artery; BCA, brachiocephalic artery.
See this image and copyright information in PMC

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