Objective:The aim of our study was to explore the clinical experience of surgical treatment for primary tracheobronchial malignant tumors.Methods:The clinicopathological data of 18 patients with primary tracheobronchial malignant tumors surgically treated from February 1994 to August 2007 were reviewed retrospectively.The surgical management included sleeve tracheal resection in 8 cases,lower trachea and carina resection with carina reconstruction in 4 cases,local enucleation of the tumor in 4 cases,left or right carino-pneumon-ection in 2 cases,and resection of the tracheal or bronchial tumor and reconstruction of the airway under cardiopulmonary bypass(CPB) in 6 cases.Results:Among the 18 cases,there were 7 adenoid cystic carcinomas,9 squamous cell carcinomas,1 lymphoepithelial-like carcinoma and 1 follicular non-Hodgkin lymphoma.All the cases recovered well except one who died of endotracheal bleeding and asphyxia at the 10th postoperative day.Conclusion:Surgical resection is the most effective treatment for primary tracheobronchial malignant tumors.The selection of operation modes should be individualized according to patients' condition.Both complete resection and safety should be taken into consideration simultaneously.
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