Evaluation of Release Maneuvers After Airway Reconstruction

Madariaga, Maria Lucia; Soni, Monica; Mathisen, Douglas J.; Wright, Cameron D.; Li, Shuben; Lee, Hang; Davies, D.; Knoll, Sheila J.; Muniappan, Ashok; Lanuti, Michael; Ott, Harald C.; Gaissert, Henning A.

doi:10.1016/j.athoracsur.2021.03.001

Cited by 5 publications

(2 citation statements)

References 11 publications

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“…Although Grillo et al reported a mean resectable tracheal length of 6.4 cm ( 4 ), this study was performed using formalin-fixed cadaver specimens, which deviate from normal physiological conditions in unique procedures, such as the division of the left main bronchus with reimplantation into the right bronchus intermedius. Similarly, Madariaga et al analyzed 545 patients who underwent TRR and reported that the mean resected tracheal length was 3.5 cm (range, 1–6.3 cm) with tracheal release maneuvers, and 3.0 cm (range, 0.8–6.5 cm) without tracheal release maneuvers ( 21 ). Interestingly, the patient who underwent only 1 cm of tracheal resection in the study required the tracheal release maneuver, whereas the patient with 6.5 cm of tracheal resection did not undergo the tracheal release maneuver.…”

Section: Discussionmentioning

confidence: 99%

Significance of the evaluation of tracheal length using a three-dimensional imaging workstation

Matsuoka¹,

Shimizu²,

Koike³

et al. 2022

J Thorac Dis

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Background: Limited information is available on the total tracheal length and its other characteristics for tracheal surgery. This study aimed to investigate the reference value of tracheal length and assess its relationship with physiological variables. Methods:We measured the tracheal length of 215 patients (107 men and 108 women) who underwent contrast-enhanced computed tomography before thoracic surgery using a three-dimensional imaging workstation. Pearson correlation analysis and multiple linear regression analysis were performed to investigate the relationship between the total tracheal length (cervical and thoracic) and common physiological parameters. Results:The mean total tracheal length was 11.5±1 cm (range, 8.8-14.4 cm); 8% of the patients had a total tracheal length <10 cm. The cervical trachea was significantly shorter in men than in women (2.9±1.3 vs.3.8±1.3 cm, P<0.001), whereas the thoracic trachea was significantly longer in men than in women (8.9±1.1 vs. 7.4±1.1 cm, P<0.001). Correlation analysis showed that the total tracheal length was positively associated with height in both sexes, while the height was positively associated with only cervical tracheal length. In the multiple linear regression analysis, the total tracheal length was influenced most by height, while cervical and thoracic tracheal lengths were influenced most by sex. Older age was also an independent contributor to a shorter cervical trachea and longer thoracic trachea in both sexes. Conclusions:The total tracheal length ranged from short to long in individuals, and characteristics of tracheal length varied with height, age, sex, and part of the trachea. We should thus be aware of the tracheal length of each patient for appropriate tracheal management.

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Section: Discussionmentioning

confidence: 99%

Significance of the evaluation of tracheal length using a three-dimensional imaging workstation

Matsuoka¹,

Shimizu²,

Koike³

et al. 2022

J Thorac Dis

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“…Therefore, compared with ordinary CT, MSCT has such advantages as the shorter time consuming, greatly reduced radiation exposure of patients, more complete information collection, higher resolution, and clearer imaging. Furthermore, it is suitable for children and patients with severe illnesses ( 29 ). The results in this study are consistent with the previous period, and the accuracy of the images processed by MSCT in preoperative diagnosis is obviously improved.…”

Section: Discussionmentioning

confidence: 99%

Multislice helical computed tomography imaging diagnosis and surgical treatment of primary tracheal tumor in cardiothoracic surgery

Rui,

Lian

2024

Front. Oncol.

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Objectiveit aimed to explore the value of multislice helical computed tomography (MSCT) in the diagnosis and surgical treatment of primary tracheal tumors.Methods64 patients with the primary tracheal tumor who were diagnosed in Wuxi Second People’s Hospital from March 2020 to March 2021 were selected as the research objects. MSCT imaging was performed on all patients, and suitable surgical methods. The pathological results were compared with original CT, CT virtual endoscopy (CTVE), and Comparisons were made using CT three-dimensional reconstruction images to evaluate the accuracy of MSCT diagnosis. Parameters such as postoperative complications and survival rates were observed to assess surgical effectiveness and safety.ResultsCompared with original CT images (70%, 72%, 70%), the diagnostic accuracy of VR images (80%, 80%, 80%), MPVR images (85%, 90%, 92%), and CTVE images (100%, 100%, 100%) was remarkably improved (P<0.05). The three-year survival rate of patients with smooth muscle tumors, malignant tumors, salivary gland adenoma, papillary tumors, and inflammatory polyp was markedly lower than that of the one-year survival rate, with a significant difference (P<0.05). The incidence of postoperative complications was 14.1%, with three cases resulting in complication-related deaths.Conclusionthe diagnostic accuracy of MSCT imaging of primary tracheal tumor was high. The diagnostic accuracy of CTVE was higher than that of VR and MPVR. Besides, surgical treatment of primary tracheal tumor had a substantial effect, with no serious postoperative complications.

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