イチキ　ヨシノブ   ICHIKI Yoshinobu   市来　嘉伸    所属   埼玉医科大学  医学部 国際医療センター　呼吸器外科    職種   専任講師
論文種別	学術雑誌(原著)
言語種別	英語
査読の有無	査読なし
表題	Extended surgery using anterior mediastinal tracheostomy for recurrent mediastinal liposarcoma.
掲載誌名	正式名：European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery
巻・号・頁	54(2),397-399頁
著者・共著者	Masaru Takenaka,Yoshinobu Ichiki,Akihiro Taira,Fumihiro Tanaka
発行年月	2018/08
概要	Mediastinal liposarcoma is an extremely rare malignancy with a poor prognosis. We report the case of a 73-year-old man who presented with severe respiratory distress. He had previously been diagnosed with mediastinal liposarcoma, which had been treated with extirpation 6 years ago. The histological type was a well-differentiated liposarcoma. Three years ago, he experienced respiratory distress due to postoperative recurrence of mediastinal liposarcoma. To establish an airway, tracheotomy was urgently performed. Tracheal stenosis also developed because the sarcoma progressed to the trachea after tracheostomy. We performed radical resection of the recurrent mediastinal liposarcoma combined with the resection of the laryngopharynx and cervical oesophagus and reconstruction using a free jejunal graft. We then performed anterior mediastinal tracheostomy with a pedicled omental flap. There has been no recurrence in the 3 years since the last operation.
DOI	10.1093/ejcts/ezy021
PMID	29415198