{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T11:22:20Z","timestamp":1784805740816,"version":"3.55.0"},"reference-count":25,"publisher":"Wiley","issue":"22","license":[{"start":{"date-parts":[[2021,10,9]],"date-time":"2021-10-09T00:00:00Z","timestamp":1633737600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Thoracic Cancer"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Tracheal tumors are rare. The aim of this case series was to investigate airway selection during radical surgery for patients with tracheal tumors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Here, we performed a retrospective case review of patients with tracheal tumors who underwent tracheal surgery in our center. A total of 37 cases, including 26 patients with primary tracheal tumors and 11 cases with advanced thyroid cancer, were enrolled into the study. Baseline characteristics and differential prognosis of included patients were estimated. We summarize the strategies for intraoperative airway selection and analyze the risk factors associated with delayed extubation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There is a trend for primary tracheal tumors to appear toward the upper (9 of 26) and middle third (9 of 26) of the trachea, followed by the lower third airway (8 of 26). Advanced thyroid cancers occur most frequently in the upper trachea (7 of 11) and then the middle trachea (4 of 11). All primary and secondary patients underwent R0 resection. Minor histological subtypes were found to correlate with a poor prognosis. Extracorporeal support and tracheotomy intubation were applied in high\u2010risk cases, and a total of 32 patients achieved intrathoracic intubation during the surgical process. Intensive care unit (ICU) delay (&gt;1\u00a0day) was observed among 25 patients, which were not enriched in cases who underwent cross\u2010field endotracheal intubation. Additionally, temporal suboptimal oxygenation (SpO2\u2009&lt;\u200995%) was an independent risk factor of ICU delay.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Airway selection plays an important role in successful tracheal surgery, and an appropriate ventilation routine depends on the patient and a surgical process which is safe and effective.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1759-7714.14181","type":"journal-article","created":{"date-parts":[[2021,10,10]],"date-time":"2021-10-10T14:39:51Z","timestamp":1633876791000},"page":"3046-3052","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Intraoperative airway management for patients with tracheal tumors: A case series of 37 patients"],"prefix":"10.1111","volume":"12","author":[{"given":"Rong","family":"Gao","sequence":"first","affiliation":[{"name":"Department of Anesthesiology Nanjing Medical University Affiliated Cancer Hospital &amp; Jiangsu Cancer Hospital &amp; Jiangsu Institute of Cancer Research  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaolan","family":"Gu","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Nanjing Medical University Affiliated Cancer Hospital &amp; Jiangsu Cancer Hospital &amp; Jiangsu Institute of Cancer Research  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuai","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Jiangsu Key Laboratory of Molecular and Translational Cancer Research Nanjing Medical University Affiliated Cancer Hospital &amp; Jiangsu Cancer Hospital &amp; Jiangsu Institute of Cancer Research  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuliang","family":"Ma","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Nanjing Medical University Affiliated Cancer Hospital &amp; Jiangsu Cancer Hospital &amp; Jiangsu Institute of Cancer Research  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2153-4840","authenticated-orcid":false,"given":"Lin","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Jiangsu Key Laboratory of Molecular and Translational Cancer Research Nanjing Medical University Affiliated Cancer Hospital &amp; Jiangsu Cancer Hospital &amp; Jiangsu Institute of Cancer Research  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ming","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Jiangsu Key Laboratory of Molecular and Translational Cancer Research Nanjing Medical University Affiliated Cancer Hospital &amp; Jiangsu Cancer Hospital &amp; Jiangsu Institute of Cancer Research  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lianbing","family":"Gu","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Nanjing Medical University Affiliated Cancer Hospital &amp; Jiangsu Cancer Hospital &amp; Jiangsu Institute of Cancer Research  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,10,9]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-7940(01)00732-1"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.21037\/acs.2018.02.01"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2004-2533"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13019-016-0498-8"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(95)70279-2"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jvca.2019.10.004"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2013.02.038"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/JTO.0b013e3181b9ca8e"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0000000000002753"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.21037\/jtd.2018.04.73"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.jvca.2017.03.020"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-6665(20)30490-4"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anclin.2012.08.012"},{"key":"e_1_2_7_15_1","first-page":"4524910","article-title":"Tracheal chondrosarcoma: systematic review of tumor characteristics, diagnosis, and treatment outcomes with case report","volume":"2017","author":"Kutzner EA","year":"2017","journal-title":"Case Rep Oncol Med"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(00)70184-X"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2017.12.153"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.thorsurg.2013.09.002"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.5761\/atcs.oa.15-00073"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.32614\/RJ-2010-007"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/1089253212450342"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.21037\/jtd.2016.01.60"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2016.12.057"},{"issue":"2","key":"e_1_2_7_24_1","first-page":"S148","article-title":"Tracheal resection and reconstruction for malignant disease","volume":"8","author":"Rea F","year":"2016","journal-title":"J Thorac Dis"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinane.2016.02.023"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-004-7606-y"}],"container-title":["Thoracic Cancer"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1759-7714.14181","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/1759-7714.14181","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1759-7714.14181","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,28]],"date-time":"2023-08-28T05:27:44Z","timestamp":1693200464000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1759-7714.14181"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10,9]]},"references-count":25,"journal-issue":{"issue":"22","published-print":{"date-parts":[[2021,11]]}},"alternative-id":["10.1111\/1759-7714.14181"],"URL":"https:\/\/doi.org\/10.1111\/1759-7714.14181","archive":["Portico"],"relation":{},"ISSN":["1759-7706","1759-7714"],"issn-type":[{"value":"1759-7706","type":"print"},{"value":"1759-7714","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,10,9]]},"assertion":[{"value":"2021-08-03","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-09-20","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-10-09","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}