Cansel ATİNKAYA, İrfan YALÇINKAYA, Hacer OKUR KUZU, Erdal OKUR, Volkan BAYSUNGUR

Different reconstructive methods after resection of tumors located in the tracheal carina in three cases

Trakeal karinada yerleşen veya trakeal karinaya uzanım gösteren tümörlerin cerrahi rezeksiyonu güçtür. Tümörün yerleştiği yere göre uygun rekonstrüksiyon yöntemi seçilir ise, tam karina rezeksiyonu güvenli bir şekilde yapılabilir. Bu yazıda, farklı karina rekonstrüksiyon yöntemleri uygu- lanan üç olgu sunuldu

Üç olguda trakeal karina yerleşimli tümörlerin rezeksiyonundan sonra farklı rekonstrüksiyon yöntemleri

Surgical resection of tumors which are located within or extend into the tracheal carina is challenging. Complete carinal resection can be safely performed, if an appropriate reconstructive method is selected based on the tumor location. In this article, we report three cases in which different carinal reconstruction methods were applied

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1. Barclay RS, McSwan N, Welsh TM. Tracheal reconstruction without the use of grafts. Thorax 1957;12:177-80.
2. Mathey J, Binet JP, Galey JJ, Evrard C, Lemoine G, Denis B. Tracheal and tracheobronchial resections; technique and results in 20 cases. J Thorac Cardiovasc Surg 1966;51:1-13.
3. Yamamoto K, Miyamoto Y, Ohsumi A, Imanishi N, Kojima F. Surgical results of carinal reconstruction: an alterative technique for tumors involving the tracheal carina. Ann Thorac Surg 2007;84:216-20.
4. Di Rienzo G, Go T, Macchiarini P. Simplified anastomotic technique for end-to-side bronchial reimplantation onto the trachea or contralateral main bronchus after complex tracheobronchial resections. J Thorac Cardiovasc Surg 2002;124:632-5.
5. Mitchell JD, Mathisen DJ, Wright CD, Wain JC, Donahue DM, Allan JS, et al. Resection for bronchogenic carcinoma involving the carina: long-term results and effect of nodal status on outcome. J Thorac Cardiovasc Surg 2001;121:465-71. 6. Grillo HC. Carinal reconstruction. Ann Thorac Surg 1982;34:356-73.
7. Jiang F, Xu L, Yuan F, Huang J, Lu X, Zhang Z. Carinal resection and reconstruction in surgical treatment of bronchogenic carcinoma with carinal involvement. J Thorac Oncol 2009;4:1375-9.
8. Mitchell JD, Mathisen DJ, Wright CD, Wain JC, Donahue DM, Moncure AC, et al. Clinical experience with carinal resection. J Thorac Cardiovasc Surg 1999;117:39-52.
9. Macchiarini P, Altmayer M, Go T, Walles T, Schulze K, Wildfang I, et al. Technical innovations of carinal resection for nonsmall-cell lung cancer. Ann Thorac Surg 2006;82:1989-97.