Carinal Resection

被引:19
作者
Gonfiotti, Alessandro [1 ]
Jaus, Massimo Osvaldo [2 ]
Barale, Daniel [1 ]
Macchiarini, Paolo [3 ]
机构
[1] Univ Hosp Careggi, I-50134 Florence, Italy
[2] Sandro Pertini Hosp, I-00157 Rome, Italy
[3] Karolinska Inst, Adv Ctr Translat Regenerat Med ACTREM, SE-14186 Stockholm, Sweden
关键词
Sleeve pneumonectomy; Carinal pneumonectomy; Lung cancer; Trachea; Airway; CARCINOMA;
D O I
10.1016/j.thorsurg.2014.08.001
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Carinal resection is considered the most complex procedure in general thoracic surgery, because of the complexity of the surgical reconstruction, anesthetic and postoperative management, and the potential for lethal morbidity and mortality. Long-term survival of malignancies involving the carina is mainly affected by lymph node status, for which mediastinal staging is of paramount importance in selecting patients and should include 2-deoxy-2-[F-18] fluoro-D-glucose positron emission tomography, endobronchial ultrasound-guided fine-needle aspiration and biopsy, and mediastinoscopy. Surgical approaches and reconstruction techniques vary according to the extent of disease and the cause of the lesion (benign vs malignant).
引用
收藏
页码:477 / +
页数:9
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