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首页> 外文期刊>Oncology letters >Anastomosis in the absence of a suprahyoid release following circumferential sleeve resection is feasible in differentiated thyroid carcinoma patients with tracheal invasion
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Anastomosis in the absence of a suprahyoid release following circumferential sleeve resection is feasible in differentiated thyroid carcinoma patients with tracheal invasion

机译：在圆周套管切除后，在圆周套管切除术后，在圆周套管切除术后，吻合术在分化的甲状腺癌患者中是可行的

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摘要

Invasion of the trachea is observed in 6% of patients with differentiated thyroid carcinoma (DTC), and surgery is accepted as the treatment of choice. However, surgical procedures can be challenging and are associated with various risks. The authors of the present study performed a retrospective study of patients with DTC and tumor invasion of the trachea. Outcomes from patients that received circumferential sleeve resection (CSR) of the trachea followed by anastomosis in the absence of suprahyoid release (n=21; CSR group) and patients that underwent tangential resections [n=103; tangential 'shave' resection (TSR) group) were analyzed. In the CSR group, 4 to 8 tracheal rings were circumferentially resected. All patients underwent end-to-end anastomosis in the absence of supra hyoid release following CSR, and 7 patients developed cancer metastasis following surgery. With the exception of 2 patients that succumbed to disease, the remaining patients in the CSR group survived without cancer recurrence. In the TSR group, all of the patients experienced cancer recurrence within five years post-surgery. A total of 61 patients developed metastases in the three years following surgery, and 71 patients succumbed to cancer metastasis within five years. The survival rate of the CSR group was significantly increased compared with the TSR group. The results of the present study suggest that in DTC patients with defects involving up to 8 tracheal rings, it may be appropriate to perform anastomosis without suprahyoid tissue release as it is associated with a reduced incidence of perioperative morbidity.
机译：在6％的分化甲状腺癌（DTC）患者中观察到气管的侵袭，并且手术被接受为选择的治疗。然而，外科手术可能具有挑战性，并且与各种风险有关。本研究的作者对患有DTC和肿瘤侵犯的患者进行了回顾性研究。来自接受气管的周向套管切除（CSR）的患者的结果，然后在没有Suprahyoid释放（n = 21; CSR组）和接受切向切除的患者的吻合[n = 103;分析了切向'切除切除（TSR）组）。在CSR组中，仔细切除了4至8个气管戒指。所有患者在CSR后缺乏术后杂交的患者都在缺乏术后吻合，7例患者在手术后开发出癌症转移。除了2例屈服于疾病的患者外，CSR组中的其余患者在没有癌症复发的情况下存活。在TSR组中，所有患者在手术后五年内经历了癌症复发。在手术后三年中共有61名患者发育转移，71名患者在五年内屈服于癌症转移。与TSR组相比，CSR组的存活率显着增加。本研究的结果表明，在DTC患者涉及高达8天气管的缺陷患者中，在没有Suprahyoid组织释放的情况下表现吻合术，因为它与围手术率发病率降低相关。

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  • 来源
    《Oncology letters》 |2017年第1期|共9页
  • 作者

    Chen Wanjun; Zou Shujuan; Wang Liang; Wu Changhua; Wang Zhiqi; Li Ke; Zhang Shuguang;

  • 作者单位

    Shandong Univ Shandong Acad Med Sci Shandong Canc Hosp Dept Head &

    Neck Surg 440 Jiyan Rd;

    Shandong Univ Shandong Acad Med Sci Shandong Canc Hosp Dept Head &

    Neck Surg 440 Jiyan Rd;

    Shandong Univ Shandong Acad Med Sci Shandong Canc Hosp Dept Head &

    Neck Surg 440 Jiyan Rd;

    Shandong Univ Shandong Acad Med Sci Shandong Canc Hosp Dept Head &

    Neck Surg 440 Jiyan Rd;

    Shandong Univ Shandong Acad Med Sci Shandong Canc Hosp Dept Head &

    Neck Surg 440 Jiyan Rd;

    Shandong Univ Shandong Acad Med Sci Shandong Canc Hosp Dept Head &

    Neck Surg 440 Jiyan Rd;

    Shandong Univ Shandong Acad Med Sci Shandong Canc Hosp Dept Head &

    Neck Surg 440 Jiyan Rd;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 肿瘤学;
  • 关键词

    thyroid; carcinoma; trachea; surgery; anastomosis; circumferential sleeve resection; suprahyoid release;

    机译：甲状腺;癌;气管;手术;吻合术;周向套筒切除;Suprahyoid释放;

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