Nonintubated Spontaneous Respiration Anesthesia for Tracheal Glomus Tumor Jun Huang, MD, PhD, Yuan Qiu, MD, Lei Chen, MD, Hui Liu, MD, Qinglong Dong,

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Presentation transcript:

Nonintubated Spontaneous Respiration Anesthesia for Tracheal Glomus Tumor Jun Huang, MD, PhD, Yuan Qiu, MD, Lei Chen, MD, Hui Liu, MD, Qinglong Dong, MD, Lixia Liang, MD, Jiaxi He, MD, PhD, Jianxing He, PhD, MD, Hanzhang Chen, MD The Annals of Thoracic Surgery Volume 104, Issue 2, Pages e161-e163 (August 2017) DOI: 10.1016/j.athoracsur.2017.02.028 Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Computed tomography scan of the patient with the largest tracheal tumor, an irregular lobulated mass with the size of 2.4 × 2.2 × 2.7 cm. The Annals of Thoracic Surgery 2017 104, e161-e163DOI: (10.1016/j.athoracsur.2017.02.028) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 The positions of incisions and the surgical procedure. (A) A 1.2-cm observation port was made in the sixth intercostal space at middle axillary line. An operation incision (3.5 cm) was made in the third or fourth intercostal space at anterior axillary line. An extra incision (0.5 cm) would be made in sixth intercostal space at posterior axillary line if necessary. (B) Vagal nerve blockage would be performed using 2 to 3 mL of 2% lidocaine (white arrow shows the tracheal tumor). (C) Tumor resection process (white arrow shows the endotracheal tumor). The tube was used as suction. High-frequency ventilatin could be applied via the tube if necessary. (D) The process of tracheal anastomosis. The Annals of Thoracic Surgery 2017 104, e161-e163DOI: (10.1016/j.athoracsur.2017.02.028) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 The tracheal endoscopy was performed within 3 months after surgery. The anastomosis had completely healed and there was no sign of inflammation or leakage. The Annals of Thoracic Surgery 2017 104, e161-e163DOI: (10.1016/j.athoracsur.2017.02.028) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions