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Left sleeve pneumonectomy via a clamshell incision for lung cancer with carinal invasion: Report of a case

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Title: Left sleeve pneumonectomy via a clamshell incision for lung cancer with carinal invasion: Report of a case
Authors: Miyazaki, Takuro / Yamasaki, Naoya / Tsuchiya, Tomoshi / Matsumoto, Keitaro / Tomoshige, Koichi / Abe, Kuniko / Hayashi, Tomayoshi / Nagayasu, Takeshi
Issue Date: Jun-2012
Publisher: 日本外科学会
Citation: Surgery Today, 42(6), pp.593-596; 2012
Abstract: Surgery for lung cancer involving the carina is challenging as it requires special surgical techniques and airway management. We report how we successfully treated carinal invasion of primary lung cancer by performing left sleeve pneumonectomy through a clamshell incision, as bilateral thoracotomy through a transverse sternotomy. Without a cardiopulmonary assist device, adequate ventilation and oxygenation were maintained across the operative field with a spinal tube. Tracheobronchial anastomosis was relatively easy to perform, with an excellent surgical view. The patient had an uneventful postoperative course and was discharged from hospital without oxygen support. There was no evidence of complications at the anastomosis on chest computed tomography and no sign of recurrence during 6 months of follow-up. The clamshell incision approach provided an excellent surgical view without the need to change the position of the patient during the operation. Thus, it could prove a useful procedure for carinal surgery; especially left sleeve pneumonectomy.
Description: The original publication is available at www.springerlink.com
Keywords: Carinal resection / Lung cancer / Sleeve pneumonectomy
URI: http://hdl.handle.net/10069/29044
ISSN: 09411291
DOI: 10.1007/s00595-011-0111-7
Rights: © 2012 Springer.
Type: Journal Article
Text Version: author
Appears in Collections:Articles in academic journal

Citable URI : http://hdl.handle.net/10069/29044

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