Single-stage bilateral thoracic surgery via a combined VATS and open approach for left central bronchogenic carcinoma with carinal invasion: report of two cases

Journal of Cardiothoracic Surgery

Xiangning Fu¹  Zheng Zhang¹  Yongde Liao¹  Bo Ai¹ 

[1] Department of Thoracic Surgery, TongJi Hospital, TongJi Medical College, Huazhong University of Science and Technology, 1095 Jiefang Ave, Wuhan 430030, China

关键词: VATS;    Single-stage bilateral surgery;    Carinal resection;    Left central lung cancer;   

Others  :  1209331
DOI  :  10.1186/s13019-015-0276-z

 received in 2014-10-03, accepted in 2015-05-01,  发布年份 2015

【 摘 要 】

Background

Surgery for patients with left central bronchogenic carcinoma invading the carina is challenging due to the complexity of left sleeve pneumonectomy, carinal resection, and airway reconstruction and management. Here we describe a modified approach to overcome this problem.

Case presentation

Between March 2011 and September 2012, two patients with left central bronchogenic carcinoma invading the carina underwent single-stage bilateral thoracic surgery via a combined approach incorporating video-assisted thoracic surgery (VATS) and thoracotomy in our hospital. We reviewed our experience with this type of surgery and analyze its outcomes.

Conclusions

Single-stage, bilateral thoracic surgery incorporating video assisted thoracic surgery (VATS) and thoracotomy provides optimal exposure of the operative field, reduces surgical trauma, and ensures the integrity of tumor excision and exactness of tracheobronchial anastomosis. This may be a safe and feasible alternative for left carinal pneumonectomy.

【 授权许可】

   
2015 Ai et al.; licensee BioMed Central.

【 图 表 】

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