J.Jpn. Surg. Soc.. 114(4): 192-195, 2013

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Feature topic

TRACHEOCARINAL RESECTION AND RECONSTRUCTION

Resection of lung cancers with tracheal and carinal involvement is rare and its role remains uncertain. We review our experience with tracheocarinal resection and reconstruction. Seven tracheocarinal resections were performed without anastomotic complications, local recurrence, or operative mortality. Six carinal reconstructions (3 using the montage method and 3 the single-stoma method) were performed without local recurrence or operative mortality. Two of the 6 had anastomotic complications. One case of stenosis required metallic stent insertion, and another case of hemoptysis underwent complete pneumonectomy. Tracheocarinal resection and reconstruction provide acceptable results in terms of local control and operative mortality, except for anastomotic complications. Patients should be carefully selected for surgery when there is anticipated mediastinal lymph node invovement.

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