Tracheal sleeve resection using autopericardial patch: a personalized surgery

Grigorchuk A.Yu.; Bazarov D.V.; Povolotskaya O.B.; Kabakov D.G.

doi:https://doi.org/10.17116/hirurgia202511297

Grigorchuk A.Yu.

Petrovsky National Research Centre of Surgery

ORCID: 0000-0001-7742-2568

Bazarov D.V.

Petrovsky National Research Centre of Surgery

ORCID: 0000-0002-2888-419X

Povolotskaya O.B.

Petrovsky National Research Centre of Surgery

ORCID: 0000-0002-6262-4420

Kabakov D.G.

Petrovsky National Research Centre of Surgery

ORCID: 0000-0003-0587-0841

Tracheal sleeve resection using autopericardial patch: a personalized surgery

Authors:

Grigorchuk A.Yu., Bazarov D.V., Povolotskaya O.B., Kabakov D.G.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2025;(11‑2): 97‑103

DOI: 10.17116/hirurgia202511297

Read: 473 times

Contact the author

Table of contents

To cite this article:

Grigorchuk AYu, Bazarov DV, Povolotskaya OB, Kabakov DG. Tracheal sleeve resection using autopericardial patch: a personalized surgery. Pirogov Russian Journal of Surgery. 2025;(11‑2):97‑103. (In Russ.)
https://doi.org/10.17116/hirurgia202511297

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

Использование инфографики авторами научных работ

Recommended articles:

Circular tracheal resection in a 9-year-old child with posttracheotomy cicatricial stenosis with tracheomalacia: the first experience in the Siberian Federal District. Pirogov Russian Journal of Surgery. 2025;(7):81-86

Tracheal sleeve resection using an autopericardial patch: personalized surgery. Pirogov Russian Journal of Surgery. 2025;(10-2):100-106

Endoscopic methods in the treatment of a patient with tracheal scar stenosis and tracheal cancer. Endoscopic Surgery. 2025;(6):55-60

Tracheal diseases in differential diagnostics of bronchial obstructive syndrome. Journal of Respiratory Medicine. 2026;(1):22-27

Abstract:

The authors describe a non-standard surgical approach to the treatment of tumor with predominant lesion of membranous tracheal wall. Circular resection with wide excision of membranous wall and replacement of tissue deficiency with autopericardial flap are used. This approach significantly reduced tension of anastomotic sutures, ensured smooth postoperative period and relapse-free survival over 7 years in context of combined treatment of adenoid cystic tracheal cancer.

Keywords:

circular tracheal resection

adenoid cystic cancer

tracheal cancer

repair with autopericardium

autopericardial patch

malignant tracheal stenosis

Authors:

Grigorchuk A.Yu.

Petrovsky National Research Centre of Surgery

ORCID: 0000-0001-7742-2568

Bazarov D.V.

Petrovsky National Research Centre of Surgery

ORCID: 0000-0002-2888-419X

Povolotskaya O.B.

Petrovsky National Research Centre of Surgery

ORCID: 0000-0002-6262-4420

Kabakov D.G.

Petrovsky National Research Centre of Surgery

ORCID: 0000-0003-0587-0841

Received:

30.08.2025

Accepted:

25.09.2025

Close metadata

References:

Ostro N, Geraci T, Zervos M. Tracheal Malignancies. In: Ng T, Geraci T, eds. Thoracic Surgery Clerkship. Contemporary Surgical Clerkships. Springer, Cham; 2024. https://doi.org/10.1007/978-3-031-44645-0_35
Ran J, Qu G, Chen X, Zhao D. Clinical features, treatment and outcomes in patients with tracheal adenoid cystic carcinoma: a systematic literature review. Radiation Oncology. 2021;16(1):38. https://doi.org/10.1186/s13014-021-01770-0
Harchenko VP, Pan’shin GA, Gvarishvili AA. Hirurgicheskoe i kombinirovannoe lechenie pervichnogo raka trahei. Voprosy onkologii. 2011;57(3):308-313. (In Russ.).
Agrawal S, Jackson C, Celie KB, Dodhia C, Monie D, Monzon J, Kaufman T, Hellenthal NJ. Survival trends in patients with tracheal carcinoma from 1973 to 2011. American Journal of Otolaryngology. 2017;38(6):673-677. https://doi.org/10.1016/j.amjoto.2017.08.005
Behbahani S, Barinsky GL, Wassef D, Paskhover B, Kaye R. Patterns of Care and Outcomes of Primary Adenoid Cystic Carcinoma of the Trachea. Annals of Otology, Rhinology & Laryngology. 2022;131(1):78-85. https://doi.org/10.1177/00034894211008101
Yang CJ, Shah SA, Ramakrishnan D, Raman V, Diao K, Wang H, Commander SJ, D’Amico TA, Berry MF. Impact of Positive Margins and Radiation After Tracheal Adenoid Cystic Carcinoma Resection on Survival. The Annals of Thoracic Surgery. 2020;109(4):1026-1032. https://doi.org/10.1016/j.athoracsur.2019.08.094
Bryant LR, Eiseman B. Replacement of Tracheobronchial Defects with Autogenous Pericardium. The Journal of Thoracic and Cardiovascular Surgery. 1964;48(5):733-740. https://doi.org/10.1016/S0022-5223(19)33356-2
Idriss FS, DeLeon SY, Ilbawi MN, Gerson CR, Tucker GF, Holinger L. Tracheoplasty with pericardial patch for extensive tracheal stenosis in infants and children. The Journal of Thoracic and Cardiovascular Surgery. 1984;88(4):527-536. https://doi.org/10.1016/S0022-5223(19)38288-1
Moghissi K. Tracheal reconstruction with a prosthesis of marlex mesh and pericardium. The Journal of Thoracic and Cardiovascular Surgery. 1975;69(4):499-506. https://doi.org/10.1016/S0022-5223(19)41528-6
Okike N, Payne WS, Cortese DA, Dines DE. Pericardial reconstruction of the membranous trachea after resection of adenoid cystic carcinoma (cylindroma). Mayo Clinic Proceedings. 1978;53(12):808-810.
Cheng ATL, Backer CL, Holinger LD, Dunham ME, Mavroudis C, Gonzalez-Crussi F. Histopathologic Changes After Pericardial Patch Tracheoplasty. Archives of Otorhinolaryngology-Head & Neck Surgery. 1997;123(10):1069-1072. https://doi.org/10.1001/archotol.1997.01900100043006
Grillo HC. Circumferential resection and reconstruction of the mediastinal and cervical trachea. Annals of Surgery. 1965;162(3):374-388. https://doi.org/10.1097/00000658-196509000-00007
Petrovsky BV, Perelman MI, Koroleva NS. Tracheo-bronchial surgery. M.: Izd-vo Meditsina; 1978. (In Russ.).
Cosentino CM, Backer CL, Idriss FS, Holinger LD, Gerson CR, Mavroudis C. Pericardial patch tracheoplasty for severe tracheal stenosis in children: intermediate results. Journal of Pediatric Surgery. 1991;26(8):879-884; discussion 885. https://doi.org/10.1016/0022-3468(91)90830-M
Bando K, Turrentine MW, Sun K, Sharp TG, Matt B, Karmazyn B, Heifetz SA, Stevens J, Kesler KA, Brown JW. Anterior pericardial tracheoplasty for congenital tracheal stenosis: intermediate to long-term outcomes. The Annals of Thoracic Surgery. 1996;62(4):981-989. https://doi.org/10.1016/0003-4975(96)00478-X
Yazdanbakhsh AP, van Rijssen LB, Koolbergen DR, König A, de Mol BA, Hazekamp MG. Long-term follow-up of tracheoplasty using autologous pericardial patch and strips of costal cartilage. European Journal of Cardio-Thoracic Surgery. 2015;47(1):146-52; discussion 152. https://doi.org/10.1093/ejcts/ezu101
Wu Y, Wang G, Dai J, Li H, Li Y, Wu C, Wei G. Slide Tracheoplasty for Congenital Tracheal Stenosis Repair: A Systematic Review and Meta-Analysis. Laryngoscope. 2022;132(8):1532-1541. https://doi.org/10.1002/lary.29771
Schultz SC, Hammon JW Jr, Turner CS, McGuirt WF Jr, Nelson JM. Surgical management and follow-up of a complex tracheobronchial injury. The Annals of Thoracic Surgery. 1999;67(3):834-836. https://doi.org/10.1016/S0003-4975(98)01206-5
Topol’nitskiy EB, Dambaev GTs, Shefer NA, Khodorenko VN, Gunther VE. Replacement of circular defects of the trachea by a flap autopartage in combination with Nickel-titanium mesh (experimental study). Vestnik of new medical technologies. 2012;19(3):97-99. (In Russ.).