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Carinal resection and reconstruction for respiratory tumors using Miyamoto’s technique

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Abstract

Purpose

Surgical processes that involve the carina pose a serious challenge to thoracic surgeons. Although techniques to allow resection and reconstruction have been developed, few institutions have accumulated sufficient experience to achieve meaningful results. There is still a debate about the indications and the morbidity and mortality rates for this type of surgery.

Methods

We have operated on six patients using a modified version of the tracheobronchial end-to-end and bronchial end-to-side anastomosis technique that was developed by Miyamoto and coworkers and reported in the English-language literature by Yamamoto and associates.

Results

Five patients underwent tracheal sleeve right upper lobectomy, and one underwent carinal resection only with two main bronchi and the trachea. None of the patients we operated on had any postoperative complications.

Conclusions

We concluded that when used with adequate surgical performance this seldom-used technique can be applied safely and provide great benefits in particular cases.

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References

  1. Miyamoto Y. Carinal reconstruction of lung cancer (in Japanese). In: Hitomi S, Wada H, editors. Practice in chest surgery (Kokyukiga-no-Jissai). Kyoto: Kingpodo; 1994. p. 24–26.

    Google Scholar 

  2. Yamamoto K, Miyamoto Y, Ohsumi A, Imanishi N, Kojima F. Results of surgical resection for tracheobronchial cancer involving the tracheal carina Gen Thorac Cardiovasc Surg 2007;55:231–239.

    Article  PubMed  Google Scholar 

  3. Porhanov VA, Poliakov IS, Selvaschuk AP, Grechishkin AI, Sitnik SD, Nikolaev IF, et al. Indications and results of sleeve carinal resection. Eur J Cardiothorac Surg 2002;22:685–694.

    Article  PubMed  Google Scholar 

  4. Mitchell JD, Mathisen DJ, Wright CD, Wain JC, Donahue DM, Moncure AC, et al. Clinical experience with carinal resection. J Thorac Cardiovasc Surg 1999;117:39–52.

    Article  PubMed  CAS  Google Scholar 

  5. Yamamoto K, Miyamoto Y, Ohsumi A, Imanishi N, Kojima F. Surgical results of carinal reconstruction: an alterative tech nique for tumors involving the tracheal carina. Ann Thorac Surg 2007;84:216–220.

    Article  PubMed  Google Scholar 

  6. Barclay RS, McSwan N, Welsh TM. Tracheal reconstruction without the use of grafts. Thorax 1957;12:177–180.

    Article  PubMed  CAS  Google Scholar 

  7. Mathey J, Binet JP, Galey JJ, Evrard C, Lemoine G, Denis B. Tracheal and tracheobronchial resections: technique and results in 20 cases. J Thorac Cardiovasc Surg 1966;51:1–13.

    PubMed  CAS  Google Scholar 

  8. Chen F, Tatsumi A, Miyamoto Y. Successful treatment of mucoepidermoid carcinoma of carina. Ann Thorac Surg 2001;71:366–368.

    Article  PubMed  CAS  Google Scholar 

  9. Sayar A, Metin M, Solak O, Turna A, Alzafer S, Ece T. A new surgical technique for adenoid cystic carcinoma involving tracheal carina. Asian Cardiovasc Thorac Ann 2005;13: 280–282.

    PubMed  Google Scholar 

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Correspondence to Okan Solak.

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Sayar, A., Solak, O., Metin, M. et al. Carinal resection and reconstruction for respiratory tumors using Miyamoto’s technique. Gen Thorac Cardiovasc Surg 60, 90–96 (2012). https://doi.org/10.1007/s11748-011-0807-z

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  • DOI: https://doi.org/10.1007/s11748-011-0807-z

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