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...
Main Authors: | , |
---|---|
Format: | Article |
Language: | English |
Published: |
BMC
2010-06-01
|
Series: | Journal of Cardiothoracic Surgery |
Online Access: | http://www.cardiothoracicsurgery.org/content/5/1/51 |
id |
doaj-6b5629ead0254c13b2442b9b2c8c704b |
---|---|
record_format |
Article |
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 |
work_keys_str_mv |
AT youngvincent carinalsurgeryexperienceofasinglecenterandreviewofthecurrentliterature AT parissisharalabos carinalsurgeryexperienceofasinglecenterandreviewofthecurrentliterature |
_version_ |
1725935369243852800 |