Rong Yin, MD, PhD, Ninglei Qiu, MD, Jun Zhu, MD, Lin Xu, MD, PhD

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Presentation transcript:

Video-assisted left main bronchial carcinoma resection and secondary carinal reconstruction Rong Yin, MD, PhD, Ninglei Qiu, MD, Jun Zhu, MD, Lin Xu, MD, PhD The Journal of Thoracic and Cardiovascular Surgery Volume 145, Issue 6, Pages e60-e62 (June 2013) DOI: 10.1016/j.jtcvs.2013.02.038 Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Representative preoperative images from computed tomographic scan (A) and bronchoscopic examination (B). The arrow shows an endobronchial tumor obstructing roughly 80% of the left main bronchial lumen. C, The bronchial tree with 3-dimensional reconstruction shows that no pulmonary atelectasis was observed. Postoperative images from computed tomographic scan (D) and 3-dimensional reconstruction (E) at 8 months after operation. The anastomotic stoma was unobstructed, and no pulmonary atelectasis was observed. LUL, Left upper lobe bronchus; LMB, left main bronchus; LLL, left lower lobe bronchus. The Journal of Thoracic and Cardiovascular Surgery 2013 145, e60-e62DOI: (10.1016/j.jtcvs.2013.02.038) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 A, A schematic diagram illustrates the positioning of the 3 incisions. Representative photos of left main bronchus (LMB) tumor resection and left secondary carinal reconstruction: the luminal tumor is cut free of the bronchus (B), interrupted sutures are placed in the membranous part of left upper lobe bronchus (LUL) and the left lower lobe bronchus (LLL; C); and the anastomosis is completed between the left main bronchus and the combination of left upper and lower lobe bronchi (D and E). Schematic diagrams of operative procedures (F) and secondary carinal reconstruction (G). ICS, Intercostal space. The Journal of Thoracic and Cardiovascular Surgery 2013 145, e60-e62DOI: (10.1016/j.jtcvs.2013.02.038) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions