Carinal Resection and Reconstruction.

Autor: Orlowski TM; Department of Thoracic Surgery, Institute of Chest Diseases, 26 Plocka Street, Warsaw 01-138, Poland. Electronic address: tm.orlowski@gmail.com., Dziedzic D; Department of Thoracic Surgery, Institute of Chest Diseases, 26 Plocka Street, Warsaw 01-138, Poland.
Jazyk: angličtina
Zdroj: Thoracic surgery clinics [Thorac Surg Clin] 2018 Aug; Vol. 28 (3), pp. 305-313.
DOI: 10.1016/j.thorsurg.2018.04.003
Abstrakt: The carinal resection is still considered a real challenge, both for a thoracic surgeon and an anesthesiologist. Depending on the indications and the degree of local advancement of the neoplasm, there are 2 techniques of carinal resection and reconstruction. The first one consists of the isolated resection with formation of a new bifurcation, whereas the second one is a combination of anatomic resection of lung parenchyma together with the bifurcation and the subsequent reconstruction. Long-term outcomes after carinal resection procedures, with clear postoperative margins, depend to a large extent on the stage of advancement of the primary disease.
(Copyright © 2018 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE