Segmental Tracheal Resection for Thyroid Cancer: Perioperative Morbidity, Locoregional Control, and Survival.

IF 2.2 3区 医学 Q1 OTORHINOLARYNGOLOGY
Anastasios Maniakas, David C Wilde, Isabelle Fournier, Emily K Hyde, Li Xu, Jennifer R Wang, Neil D Gross, Erich M Sturgis, Victoria Banuchi, Naifa L Busaidy, Maria E Cabanillas, Priyanka Iyer, Ramona Dadu, Steven G Waguespack, Mimi I Hu, G Brandon Gunn, Michael Kwon, Salmaan Ahmed, Michelle D Williams, Mark E Zafereo
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引用次数: 0

Abstract

Background: Segmental tracheal resection is rarely needed for advanced thyroid cancer but is among the most complex, high-risk thyroid surgeries.

Methods: Retrospective study of patients undergoing segmental tracheal resection for thyroid cancer at MD Anderson Cancer Center (2005-2024).

Results: We identified 120 patients with a median follow-up of 4.6 years (range 0.02-16.38). Papillary thyroid cancer was most common (68%). The median number of tracheal rings resected was 4 (range 1-9). Seventeen (14%) patients had a new tracheostomy placed at the time of surgery, with 11 (9%) remaining trach-dependent at last follow-up. Twenty-six (22%) patients had a return to the operating room within 30 days, while 3 (3%) patients suffered perioperative mortality. The more common postoperative complications included tracheostomy tube placement (10%), hematoma (7%), and anastomotic air leak (6%). Median hospitalization was 6 days (range 2-67). Locoregional control (LRC) and overall survival (OS) were 79% and 77% at 5 years, respectively.

Conclusions: Segmental tracheal resection for advanced thyroid cancer is technically complex and high-risk, but most patients stay recurrence-free 5 years post-surgery.

气管部分切除术治疗甲状腺癌:围手术期发病率、局部区域控制和生存率。
背景:晚期甲状腺癌很少需要气管节段性切除术,但却是最复杂、高风险的甲状腺手术之一。方法:回顾性研究2005-2024年在MD安德森癌症中心行甲状腺癌气管段性切除术的患者。结果:我们确定了120例患者,中位随访4.6年(范围0.02-16.38)。甲状腺乳头状癌最常见(68%)。切除气管环的中位数为4个(范围1-9)。17例(14%)患者在手术时进行了新的气管切开术,11例(9%)患者在最后随访时仍依赖气管。26例(22%)患者在30天内返回手术室,3例(3%)患者出现围手术期死亡。更常见的术后并发症包括气管造口置管(10%)、血肿(7%)和吻合口漏气(6%)。中位住院时间为6天(范围2-67天)。5年局部区域控制率(LRC)和总生存率(OS)分别为79%和77%。结论:气管节段性切除术治疗晚期甲状腺癌技术复杂且高危,但多数患者术后5年无复发。
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来源期刊
CiteScore
7.00
自引率
6.90%
发文量
278
审稿时长
1.6 months
期刊介绍: Head & Neck is an international multidisciplinary publication of original contributions concerning the diagnosis and management of diseases of the head and neck. This area involves the overlapping interests and expertise of several surgical and medical specialties, including general surgery, neurosurgery, otolaryngology, plastic surgery, oral surgery, dermatology, ophthalmology, pathology, radiotherapy, medical oncology, and the corresponding basic sciences.
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