Carinal resection

Thoracic Surgery Clinics
Michael Lanuti, D J Mathisen

Abstract

There are many challenges in performing carinal resection and, in particular, reconstruction. A better understanding of the safe limits of resection has contributed to the reduced mortality from anastomotic complications. Accurate selection of patients, a meticulous adherence to surgical precision, and optimal postoperative patient care have become mandatory to reduce the risk of the most serious complications, such as noncardiogenic pulmonary edema and suture dehiscence. With carinal resection for bronchogenic carcinoma, contemporary studies suggest that there are reasonable survival rates in the absence of involved mediastinal lymph nodes or distant metastatic disease. The role of neoadjuvant therapy for bronchogenic carcinoma involving the carina deserves further investigation; this type of therapy should be used with caution because of the deleterious effects on anastomotic healing.

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Citations

Jun 23, 2010·Journal of Cardiothoracic Surgery·Haralabos Parissis, Vincent Young
Sep 12, 2009·Journal of Thoracic Oncology : Official Publication of the International Association for the Study of Lung Cancer·Feng JiangZhi Zhang
Dec 4, 2013·Thoracic Surgery Clinics·Walter Weder, Ilhan Inci
Apr 10, 2013·The Annals of Thoracic Surgery·Lorenzo SpaggiariDomenico Galetta
Dec 1, 2009·Journal of Pediatric Surgery·Rodrigo Luiz Pinto RomãoUenis Tannuri
Oct 31, 2015·Thoracic Surgery Clinics·Luis F TapiasDouglas J Mathisen
Oct 29, 2014·Journal of Anesthesia·Izumi KawagoeKenji Suzuki
Feb 3, 2019·The Journal of Thoracic and Cardiovascular Surgery·Christina L CostantinoMichael Lanuti
Jul 27, 2021·Thoracic Surgery Clinics·Christina L Costantino, Cameron D Wright

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