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Video-Assisted Thoracic Surgery Resection and Reconstruction of Carina and Trachea for Malignant or Benign Disease in 12 Patients: Three Centers’ Experience.

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Presentation on theme: "Video-Assisted Thoracic Surgery Resection and Reconstruction of Carina and Trachea for Malignant or Benign Disease in 12 Patients: Three Centers’ Experience."— Presentation transcript:

1 Video-Assisted Thoracic Surgery Resection and Reconstruction of Carina and Trachea for Malignant or Benign Disease in 12 Patients: Three Centers’ Experience in China  Jingpei Li, MD, Wei Wang, MD, Long Jiang, MD, Weiqiang Yin, MD, Jun Liu, MD, Wenlong Shao, MD, Hanzhang Chen, MD, Keng- Leong Ang, PhD FRCSEd (C-Th), Wenjie Jiao, MD, Mingqiang Kang, MD, Jianxing He, MD, PhD  The Annals of Thoracic Surgery  Volume 102, Issue 1, Pages (July 2016) DOI: /j.athoracsur Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Ports placement of thoracoscopic carinal resection and reconstruction. The fourth port (white arrow) was used mainly for the placement of the cross-field endobronchial tube. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Specific lesions and details of right bronchial resection with partial carinal reconstruction. (a) Chest reconstructed computed tomography. (b) Surgical resection plan. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Key techniques in partial carinal reconstruction. (a) Resected trachea and carina. (b) Narrowing the orifice for bronchial anastomosis by suturing the side wall of the trachea. (c) Enlarging the orifice for bronchial anastomosis by using the Aortic Punch (Medtronic, Inc, Minneapolis, MN). (d) Anastomosis of the distal right intermediate bronchus with continuous suture. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 Specific lesions and details of tracheal resection and reconstruction. (a) Chest reconstructed computed tomography. (b) Surgical resection plan. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

6 Fig 5 Key techniques in tracheal reconstruction. (a) End-to-end anastomosis of the trachea starting from the distal corner of the posterior tracheal wall. (b and c) Oral endotracheal tube being reinserted into the distal trachea after the completion of posterior wall anastomosis. (d) End-to-end anastomosis being completed. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

7 Fig 6 Specific lesions and details of right bronchial resection with carinal reconstruction. (a) Chest reconstructed computed tomography. (b) Surgical resection plan. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

8 Fig 7 Surgical techniques of carinal reconstruction. (a) The cross-field endobronchial tube being inserted into the left main bronchus after resection of tumor. (b) End-to-end anastomosis of the distal trachea and the left main bronchus starting from the posterior tracheal wall. (c) Oral endobronchial tube being reinserted to the left main bronchus after completion of posterior wall anastomosis. (d) Distal right intermediate bronchus being reimplanted into the aperture. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

9 Fig 8 Specific lesions and details of right pneumonectomy with carinal reconstruction. (a) Chest reconstructed computed tomography. (b) Surgical resection plan. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions


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