The Annals of Thoracic Surgery, Vol 51, 23-29, Copyright © 1991 by The Society of Thoracic Surgeons
Tracheoesophageal anastomosis for intractable aspiration pneumonia
H Nakasaki, T Sugihara, T Tajima, T Mitomi, Y Osamura, N Onoda and K Fujii
Department of Surgery, Tokai University School of Medicine, Tokyo, Japan.
Permanent tracheostomy and tracheoesophageal anastomosis were performed as
a means of surgical intervention for the treatment of intractable
aspiration pneumonia. Conventional methods of tracheoesophageal anastomosis
have entailed various problems. The improved method devised by us uses the
special histological features and enables safe and reliable anastomosis. By
this method, the tracheal perichondrium is retained and the strength of the
anastomosed portion of the trachea is maintained, the failure of sutures
due to tension on the anastomotic site being prevented. Also, reanastomosis
can be performed after the cure of primary disease.