하부 기도 전체를 막고 있는 기관내 전이성 암종 환자에서 체외막 산소화 요법 후환기형 기관지 내시경과 현수 후두경을 통해 암종을 제거한 1예

Abstract

A patient diagnosed with advanced lung cancer developed severe dyspnea after chemotherapy. Metastatic tumor completely obstructing the lower trachea was revealed by bronchoscopy. Emergent surgery was required but it was difficult to perform open tracheal surgery andmaintain sufficient ventilation with tracheal intubation because of location and size of the tumor. After consultation with an esthesiologist, respiratory physician and cardiothoracic surgeon,we performed surgery with extracorporeal membrane oxygenation (ECMO) without intubation. We report a rare case of a successfully removed metastatic tumor in the airwayunder the support of ECMO.