A Novel Technique of Long-Segment Tracheal Repair With Extended Bronchial Flap of Right Upper and Main Bronchus Plus Tracheoplasty Yi-jiu Ren, MD, Hui.

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A Novel Technique of Long-Segment Tracheal Repair With Extended Bronchial Flap of Right Upper and Main Bronchus Plus Tracheoplasty Yi-jiu Ren, MD, Hui Zheng, MD, Ling-xiao Shen, MD, Ge-ning Jiang, MD, Fang-yu Zhou, MD, Peng-qing Ying, MD, Lin-lin Qin, MD, Chang Chen, MD The Annals of Thoracic Surgery Volume 99, Issue 6, Pages 2188-2190 (June 2015) DOI: 10.1016/j.athoracsur.2014.08.052 Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A, B) Computed tomography scans showing a serious stenosis of the lower trachea due to tumor protrusion (arrows). The tumor had a clear margin without obvious adjacent tissue involvement. (C) Under bronchoscopy, the tumor was lobulated with abundant small vessels on the surface. The Annals of Thoracic Surgery 2015 99, 2188-2190DOI: (10.1016/j.athoracsur.2014.08.052) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) The tumor had been initially removed along its macroscopic margins and was 5 cm long. The neighboring trachea wall had prominent thickening. (B) Schematic diagram of reconstruction with extended bronchial flap. A V-shaped incision was made toward the left side (arrow). The right upper bronchus (white arrowhead) and the main bronchus (black arrowhead) were cut open to form a fan-shaped repair material. (C) The pedicled flap was then sutured onto the tracheal wall in an interrupted manner. The Annals of Thoracic Surgery 2015 99, 2188-2190DOI: (10.1016/j.athoracsur.2014.08.052) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 (A) The trachea was slightly distorted owing to mediastinum displacement and scar formation subsequent to fistula. (B) There was no stricture under bronchoscopy. The bumps (arrow) were cartilages from the flap. The Annals of Thoracic Surgery 2015 99, 2188-2190DOI: (10.1016/j.athoracsur.2014.08.052) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions