所属 産業医科大学病院 診療科 呼吸器・胸部外科 職種 助教
A CASE OF LIPOSARCOMA UNDERGONE RESECTION OF PHARYNGES, LARYNXES, CERVICAL ESOPHAGUS AND MEDIASTINAL TUMOR WITH FREE JEJUNAL GRAFT AND ANTERIOR MEDIASTINAL TRACHEOSTOMY WITH PEDICLED OMENTAL FLAP.
|会議名||24th European Conference on General Thoracic Surgery|
|発表者・共同発表者||Masaru Takenaka, R. Oyama, K. Kobayashi, S. Yura, H. Matsumiya, S. Shinohara, T. Kuwata, S. Oka, Y. Chikaishi, A. Hirai, K. Yoneda, Y. Tashima, K. Kuroda, N. Imanishi, Y. Nagata, F. Tanaka|
|概要||Video description: Seventy year old, male, four years ago, mediastinal tumor resection and neck tumor resection were divided into two times for neck‑mediastinal liposarcoma. However, it showed progression of the tracheal stenosis at the post‑operative recurrence, we decided enforce a radical opera‑ tion again. Tumor was localized to the carina continuous with the mediastinum through the vertebral body front from the nasopharynx. The collaboration with thoracic surgery, otolaryn‑ gology, gastrointestinal surgery and plastic surgery, Resection of pharynges, larynxes, cervical esophagus and mediastinal tumor with free jejunal graft and anterior mediastinal tracheostomy with pedicled omental flap were performed. It underwent pharynx, larynx removed in the first range in otolaryngology operation of both sides in the carotid vein inside. In a state in which the tumor has been continuous in the mediastinum, it underwent cervical esophagus removal and mediastinum dissection at thoracic surgery. It was excised tumor disconnect the trachea at the level of under the second cartilage wheel. After the trachea dissection was performed the operative field intubation using 8Fr spiral tube. To perform the collection of free jejunum in gastrointestinal surgery, and underwent vascular anastomosis in plastic surgery, and rebuilt the free jejunum and nasopharyngeal and thoracic esophagus. In addition it was taken enterostomy and pedicled omental flap. After trimming the trachea, the omentum was filled around, under‑ went anterior mediastinal tracheostomy. Surgery time was 16 hours, bleeding was 16000cc. The postoperative course is good, it is currently undergoing observation.|