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Purpose <p> Tracheal resection and reconstruction for primary tracheal tumors is a rare procedure in clinical practice. This study aimed to evaluate the surgical outcomes and propose a reliable perioperative management strategy for this method.</p> Methods <p>Fourteen patients underwent tracheal resection and reconstruction for primary tracheal tumors at our institute between 2016 and 2025. We reviewed the clinical courses of these patients.</p> Results <p>Histological types included adenoid cystic carcinoma (ACC) in five patients, squamous cell carcinoma (SCC) in four, glomus tumor in two, and rhabdomyosarcoma, angioleiomyoma, and schwannoma in one case each. The surgical approaches were cervical incision in five patients, median sternotomy in six, and right thoracotomy in three. The average length of the resected trachea was 4.3 rings [<CitationRef AdditionalCitationIDS="CR4 CR5" CitationID="CR3">3</CitationRef>–<CitationRef CitationID="CR6">6</CitationRef>]. Postoperative complications included stenosis, mediastinitis, and phrenic and recurrent nerve palsy in one case each. No treatment-related deaths were noted. Postoperative radiotherapy was administered to six patients in this study. Only one patient with ACC developed intraluminal recurrence. Two patients with SCC developed lymph node or pulmonary recurrence. Three deaths occurred because of the primary disease, and one occurred due to other causes.</p> Conclusions <p>Tracheal resection and reconstruction using an appropriate approach is recommended for primary tracheal tumors. Postoperative radiotherapy provides reliable local control.</p>

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Surgical outcome and perioperative management of tracheal resection and reconstruction for patients with a primary tracheal tumor

  • 期刊论文

  • 发表日期：

    2026年7月23日

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  • Takuma Tsukioka,
  • Kyukwang Chung,
  • Satoshi Okada,
  • Kazuya Kishimoto,
  • Hiroyuki Kochi,
  • Ryu Nakajima

摘要

Purpose

Tracheal resection and reconstruction for primary tracheal tumors is a rare procedure in clinical practice. This study aimed to evaluate the surgical outcomes and propose a reliable perioperative management strategy for this method.

Methods

Fourteen patients underwent tracheal resection and reconstruction for primary tracheal tumors at our institute between 2016 and 2025. We reviewed the clinical courses of these patients.

Results

Histological types included adenoid cystic carcinoma (ACC) in five patients, squamous cell carcinoma (SCC) in four, glomus tumor in two, and rhabdomyosarcoma, angioleiomyoma, and schwannoma in one case each. The surgical approaches were cervical incision in five patients, median sternotomy in six, and right thoracotomy in three. The average length of the resected trachea was 4.3 rings [3–6]. Postoperative complications included stenosis, mediastinitis, and phrenic and recurrent nerve palsy in one case each. No treatment-related deaths were noted. Postoperative radiotherapy was administered to six patients in this study. Only one patient with ACC developed intraluminal recurrence. Two patients with SCC developed lymph node or pulmonary recurrence. Three deaths occurred because of the primary disease, and one occurred due to other causes.

Conclusions

Tracheal resection and reconstruction using an appropriate approach is recommended for primary tracheal tumors. Postoperative radiotherapy provides reliable local control.