caa a22 4500 606248587 CHVBK 20210128101351.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s12262-014-1061-2 doi (NATIONALLICENCE)springer-10.1007/s12262-014-1061-2 Tracheotomy in Cancer Patients: Experience from a Cancer Hospital in Pakistan [Elektronische Daten] [Abu Bhatti, Hassan Iqbal, Raza Hussain, Aamir Syed, Arif Jamshed] Tracheotomy is commonly performed for the management of upper airway compromise. Trauma and head and neck cancers are the most frequent indications. The objective of this study was to share our experience with tracheotomy performed for a broad range of malignancies including but not limited to head and neck cancer. This study is a retrospective case series of patients who underwent tracheotomy from January 2004 to June 2012 at Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore, Pakistan. A total of 130 patients were included in the study. Patient demographics, indications for tracheotomy, underlying malignancy, and duration of follow-up were assessed. Main indications were elective (prolonged intubation and/or as a prerequisite for head and neck cancer surgery) and emergency (stridor). Outcome was assessed on a basis of successful decannulation and complications related to tracheotomy. Indications for tracheotomy were elective in 55 (44.7%) and emergent in 75 (55.3%) patients. Most common underlying malignancy was leukemia/lymphoma in 38 (29.2%) patients. There were seven (5.3%) complications in emergency tracheotomies including bleeding in three, emphysema in two, and dislodgement and infection in one patient each. In the elective setting, three (2.3%) complications were observed with dislodgement in one and stomal stenosis in two patients. Decannulation was successfully carried out in 23 (18%) patients. Median follow-up of patients was 1month (range 0-86). No tracheotomy-related mortality was observed. Tracheotomy was performed with relative safety in cancer patients, but low rate of successful decannulation predominantly due to persistent nature of disease. Association of Surgeons of India, 2014 Tracheotomy nationallicence Indications nationallicence Emergency nationallicence Outcome nationallicence Bhatti Abu Department of Surgical Oncology, Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore, Pakistan aut Iqbal Hassan Department of Surgical Oncology, Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore, Pakistan aut Hussain Raza Department of Surgical Oncology, Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore, Pakistan aut Syed Aamir Department of Surgical Oncology, Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore, Pakistan aut Jamshed Arif Department of Radiation Oncology, Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore, Pakistan aut Indian Journal of Surgery Springer India 77(2015-12-01), 906-909 0972-2068 77<906 2015 77 12262 https://doi.org/10.1007/s12262-014-1061-2 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s12262-014-1061-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Bhatti Abu Department of Surgical Oncology, Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore, Pakistan aut NATIONALLICENCE 700 1- Iqbal Hassan Department of Surgical Oncology, Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore, Pakistan aut NATIONALLICENCE 700 1- Hussain Raza Department of Surgical Oncology, Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore, Pakistan aut NATIONALLICENCE 700 1- Syed Aamir Department of Surgical Oncology, Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore, Pakistan aut NATIONALLICENCE 700 1- Jamshed Arif Department of Radiation Oncology, Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore, Pakistan aut NATIONALLICENCE 773 0- Indian Journal of Surgery Springer India 77(2015-12-01), 906-909 0972-2068 77<906 2015 77 12262