Right-Sided Approach for Segmental Resection of the Left Main Bronchus—Technical Considerations
| Autor: | Florian Augustin, Caecilia Ng, Herbert Maier, Paolo Lucciarini, Stefan Scheidl, Dietmar Öfner, Veronika Kroepfl |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Pulmonary and Respiratory Medicine medicine.medical_specialty business.industry Bronchial Neoplasms Left main bronchus Gold standard BRONCHIAL CARCINOID TUMOR Bronchi Carcinoid Tumor General Medicine respiratory system medicine.disease respiratory tract diseases Pneumonia Bronchoscopy medicine Humans Female Surgery Radiology Segmental resection Pneumonectomy Cardiology and Cardiovascular Medicine business |
| Zdroj: | Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery. 15:279-282 |
| ISSN: | 1559-0879 1556-9845 |
| DOI: | 10.1177/1556984520913292 |
| Popis: | Carcinoids of the left main bronchus are rare tumors of the bronchial system and patients often present with dyspnea, asthma-like symptoms, and pneumonia. Gold standard for therapy of carcinoids is surgical resection, but the surgical approach for segmental resection and anastomosis of the left main bronchus is a matter of discussion. With a left-sided approach the access to the bronchus is blocked by the aortic arch and the pulmonary vein. If a right-sided approach is performed, the problem of ventilation during resection and anastomosis of the bronchus occurs. We present a surgical approach from the right side using intraoperative extracorporeal membrane oxygenation to assure oxygen supply for resection of a typical carcinoid of the left main stem bronchus, and discuss the current literature. |
| Databáze: | OpenAIRE |
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