Tracheal tumor

The trachea is a very important part of the human body structure. If people want to survive in their daily lives, they must breathe fresh air. Therefore, it can be seen that the trachea is very important to people. But sometimes, some people will find that tumors have grown in their organs. When this happens, many people will worry that it will affect their life safety. So when a tumor grows in your trachea, what methods can be used to treat it?

1. Treatment principles

1. Treatment of tracheal tumors requires complete removal of the tumor. Prevent recurrence and eliminate tracheal obstruction. In advanced cases where the tumor cannot be completely removed, airway obstruction should be alleviated or relieved and ventilation function improved.

2. Small benign tracheal tumors, especially those with thin pedicles at the root, can be removed by electrocautery under endoscopy. Either a tracheotomy is performed to remove the tumor, or a portion of the tracheal wall is removed along with the tumor, and then the tracheal defect is sutured.

3. For malignant tracheal tumors or larger benign tumors, it is necessary to remove the affected segment of the trachea and perform tracheal reconstruction.

4. For patients with advanced malignant tracheal tumors that cannot be removed or are incompletely removed, local radiotherapy or chemotherapy can be performed according to the pathological type.

5. Those with concurrent infection should receive anti-infection treatment.

6. Symptomatic supportive treatment.

2. Surgery selection method

1. Circular tracheal resection and end-to-end tracheal anastomosis The maximum length of tracheal resection should not exceed 6cm to 6.6cm. After the operation, the patient needs to lower his head and keep it fixed for about 10 to 14 days, and can raise his head only after 3 months.

2. Tracheal carina resection and reconstruction ① The entire lung and carina on one side are removed, and the trachea is anastomosed end to end with the contralateral main bronchus. ② The carina was removed, the trachea was anastomosed end to end with the right main trachea, and the left main bronchus was anastomosed end to side with the right bronchus intermedius. ③ Carina resection and right upper lobectomy, end-to-end anastomosis of the trachea and right main bronchus, and end-to-side anastomosis of the right intermediate bronchus. ④ The carina was removed, and the left and right main bronchi were anastomosed side by side, and then anastomosed with the tracheal stump. ⑤ Resection of the carina and replacement of the carina with tantalum wire silicone tube, etc.

3. Local tracheal resection and reconstruction is mostly used for patients with more limited lesions and less involvement of the tracheal wall. After resection, pedicled bronchial valves, pericardium, pleura, skin, fascia and other materials can be used to repair the defects in the tracheal wall.

4. Bronchoscopy or tracheotomy tumor removal is used for benign tumors such as leiomyoma.

5. Artificial trachea is suitable for patients with a wide range of tracheal resection and difficult anastomosis of the other ends.