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Wide Sleeve Resection of Lower Trachea Through Anterior Approach With Omentopexy

Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University
¹ Department of Thoracic Oncology, National Kyushu Cancer Center, Fukuoka, Japan

For reprint information contact: Ichiro Yoshino, FACS Tel: 81 92 642 5462 Fax: 81 92 642 5482 Email: iyoshino{at}surg2.med.kyushu-u.ac.jp, Department of Surgery and Science, Graduate School of Medical Science, Kyushu University, 3-1-1 Maidashi, Fukuoka 812-8582, Japan.

A 61-year-old man with tracheal adenoid cystic carcinoma (case 1) and a 28-year-old woman with benign tracheal stenosis (case 2) were treated with sleeve resection of the lower trachea through a median sternotomy and prophylactic omental wrapping. The resected tracheas were 4.5 cm (case 1) and 4.0 cm (case 2) in length. Both patients had an uneventful course after surgery despite postoperative irradiation in case 1 and preoperative infection with methicillin-resistant Staphylococcus aureus in case 2.