Carinal surgery: experience of a single center and review of the current literature

<p>Abstract</p> <p>Background</p> <p>To report our experience for the treatment of lung tumors of the right main bronchus (RMB) invading the carina.</p> <p>Methods</p> <p>From February 2000 till January 2007 we have identified 8 cases (1.09%) req...

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Main Authors: Young Vincent, Parissis Haralabos
Format: Article
Language:English
Published: BMC 2010-06-01
Series:Journal of Cardiothoracic Surgery
Online Access:http://www.cardiothoracicsurgery.org/content/5/1/51
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spelling doaj-6b5629ead0254c13b2442b9b2c8c704b2020-11-24T21:38:08ZengBMCJournal of Cardiothoracic Surgery1749-80902010-06-01515110.1186/1749-8090-5-51Carinal surgery: experience of a single center and review of the current literatureYoung VincentParissis Haralabos<p>Abstract</p> <p>Background</p> <p>To report our experience for the treatment of lung tumors of the right main bronchus (RMB) invading the carina.</p> <p>Methods</p> <p>From February 2000 till January 2007 we have identified 8 cases (1.09%) requiring carinal surgery.</p> <p>Plan of action: Close cooperation with anaesthetics, long flexible ET tube, Right posterolateral thoracotomy, no irrevocable steps until resection guaranteed, mobilization of trachea and main bronchus, division of the trachea & Left main bronchus. Intubate across surgical field. Tailoring for airway size discrepancies, appropriately. Construction of the tracheobronchial anastomosis around the ventilatory tube. Skillfull reintubation, over a long boogie.</p> <p>Results</p> <p>Mortality: 12.5% due to ARDS (one patient)</p> <p>Morbidity: anastomotic stenosis requiring stent (one patient). Follow-up 52 ± 11 months.</p> <p>Recurrences: 2 patients (both with pathological N2 disease on histology).</p> <p>Conclusions</p> <p>Success of carinal surgery depends on careful patient selection, team approach and attention to detail. Patients with N2 disease carry the worst prognosis.</p> http://www.cardiothoracicsurgery.org/content/5/1/51
collection DOAJ
language English
format Article
sources DOAJ
author Young Vincent
Parissis Haralabos
spellingShingle Young Vincent
Parissis Haralabos
Carinal surgery: experience of a single center and review of the current literature
Journal of Cardiothoracic Surgery
author_facet Young Vincent
Parissis Haralabos
author_sort Young Vincent
title Carinal surgery: experience of a single center and review of the current literature
title_short Carinal surgery: experience of a single center and review of the current literature
title_full Carinal surgery: experience of a single center and review of the current literature
title_fullStr Carinal surgery: experience of a single center and review of the current literature
title_full_unstemmed Carinal surgery: experience of a single center and review of the current literature
title_sort carinal surgery: experience of a single center and review of the current literature
publisher BMC
series Journal of Cardiothoracic Surgery
issn 1749-8090
publishDate 2010-06-01
description <p>Abstract</p> <p>Background</p> <p>To report our experience for the treatment of lung tumors of the right main bronchus (RMB) invading the carina.</p> <p>Methods</p> <p>From February 2000 till January 2007 we have identified 8 cases (1.09%) requiring carinal surgery.</p> <p>Plan of action: Close cooperation with anaesthetics, long flexible ET tube, Right posterolateral thoracotomy, no irrevocable steps until resection guaranteed, mobilization of trachea and main bronchus, division of the trachea & Left main bronchus. Intubate across surgical field. Tailoring for airway size discrepancies, appropriately. Construction of the tracheobronchial anastomosis around the ventilatory tube. Skillfull reintubation, over a long boogie.</p> <p>Results</p> <p>Mortality: 12.5% due to ARDS (one patient)</p> <p>Morbidity: anastomotic stenosis requiring stent (one patient). Follow-up 52 ± 11 months.</p> <p>Recurrences: 2 patients (both with pathological N2 disease on histology).</p> <p>Conclusions</p> <p>Success of carinal surgery depends on careful patient selection, team approach and attention to detail. Patients with N2 disease carry the worst prognosis.</p>
url http://www.cardiothoracicsurgery.org/content/5/1/51
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