두경부암 수술 중 경피적 확장 기관절개술의 유용성과 안전성
Efficacy and Safety of Percutaneous Dilatational Tracheotomy in the Head and Neck Cancer Surgery
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Background and Objectives Percutaneous dilatational tracheostomy (PDT) is an easy andfast technique that can replace surgical tracheostomy (ST). Less bleeding, easy technique andshort procedure time are the main advantages of this tecunique. This study is to evaluate thefeasibility of PDT during the head and neck cancer surgery. Subjects and Method The medical records of 12 patients who underwent PDT during ahead and neck cancer surgery in the period of September 2019 to September 2021 were re-viewed retrospectively. Another medical records of 12 patients who underwent ST during thehead and neck cancer surgery were acquired for comparison. PDT was performed using CigliaPercutaneous Tracheostomy Set® (Cook Critical Care). Parameters of blood loss, proceduretime, wound communication between the cervical and tracheostomy incision and complica-tions were compared between the PDT group and the ST group. Results The PDT group showed less blood loss, shorter procedure time and showed fewerincidences of wound communication. As for complications, there was one case of conversion toST due to procedure failure in the PDT group. The complication rate was not different be-tween the two groups. Conclusion PDT can be used as a safe and effective procedure during the head and neckcancer surgery for selected patients.
Abstract
Background and Objectives Percutaneous dilatational tracheostomy (PDT) is an easy andfast technique that can replace surgical tracheostomy (ST). Less bleeding, easy technique andshort procedure time are the main advantages of this tecunique. This study is to evaluate thefeasibility of PDT during the head and neck cancer surgery. Subjects and Method The medical records of 12 patients who underwent PDT during ahead and neck cancer surgery in the period of September 2019 to September 2021 were re-viewed retrospectively. Another medical records of 12 patients who underwent ST during thehead and neck cancer surgery were acquired for comparison. PDT was performed using CigliaPercutaneous Tracheostomy Set® (Cook Critical Care). Parameters of blood loss, proceduretime, wound communication between the cervical and tracheostomy incision and complica-tions were compared between the PDT group and the ST group. Results The PDT group showed less blood loss, shorter procedure time and showed fewerincidences of wound communication. As for complications, there was one case of conversion toST due to procedure failure in the PDT group. The complication rate was not different be-tween the two groups. Conclusion PDT can be used as a safe and effective procedure during the head and neckcancer surgery for selected patients.
참고문헌 (12)
- Toursarkissian B, "Percutaneous dilational tracheostomy : Report of 141 cases", Ann Thorac Surg, 57(4), pp.862~867 (1994)
- Freeman BD, "A meta-analysis of prospective trials comparing percutaneous and surgical tracheostomy in critically ill patients", Chest, 118(5), pp.1412~1418 (2000)
- Ciaglia P, "Elective percutaneous dilatational tracheostomy. A new simple bedside procedure; preliminary report", Chest, 87(6), pp.715~719 (1985)
- Barba CA, "Bronchoscopic guidance makes percutaneous tracheostomy a safe, cost-effective, and easy-to-teach procedure", Surgery, 118(5), pp.879~883 (1995)
- Petros S, "Percutaneous dilatational tracheostomy in a medical ICU", Intensive Care Med, 23(6), pp.630~634 (1997)
- Pothmann W, "Percutaneous dilatational tracheostomy : Risks and benefits", Intensive Care Med, 23(6), pp.610~612 (1997)
- Liao LF, "Percutaneous dilatational tracheostomy", Atlas Oral Maxillofac Surg Clin North Am, 23(2), pp.125~129 (2015)
- Crofts SL, "A comparison of percutaneous and operative tracheostomies in intensive care patients", Can J Anaesth, 42(9), pp.775~779 (1995)
- Friedman Y, "Comparison of percutaneous and surgical tracheostomies", Chest, 110(2), pp.480~485 (1996)
- Hazard P, "Comparative clinical trial of standard operative tracheostomy with percutaneous tracheostomy", Crit Care Med, 19(8), pp.1018~1024 (1991)
- Holdgaard HO, "Percutaneous dilatational tracheostomy versus conventional surgical tracheostomy. A clinical randomised study", Acta Anaesthesiol Scand, 42(5), pp.545~550 (1998)
- Porter JM, "Preferred route of tracheostomy--percutaneous versus open at the bedside: A randomized, prospective study in the surgical intensive care unit", Am Surg, 65(2), pp.142~146 (1999)