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Resection and Reconstruction of Central Airways

Chapter

Abstract

Most abnormalities involving the subglottic area, trachea, and main stem bronchi cause obstruction and consequently stimulate endoscopic evaluation. Before considering resection and reconstruction of central airways, technical resectability has to be confirmed. Precise determination of location, extension, and pathologic condition is mandatory apart from assessment of the patient’s clinical status. Nonneoplastic conditions are more common indication for surgical interventions than neoplastic diseases. Resection up to 4–5 cm in length can be managed safely, while the strongest predictors of low morbidity and mortality are a tension-free anastomosis and early extubation.

Keywords

Small Cell Carcinoma Adenoid Cystic Carcinoma Main Bronchus Central Airway Main Stem Bronchus 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Suggested Reading

  1. 1.
    Grillo HC, Donahue DM. Postintubation trachea stenosis. Chest Surg Clin. 1996;6(4):725–31.Google Scholar
  2. 2.
    Keshavjee S, de Perrot M, Cardoso P, Pearson FG, et al. Upper airway tumors: primary tumors. In: Pearson FG, Cooper JD, editors. Thoracic surgery. 2nd ed. New York: Churchill Livingstone; 2002. p. 347–74.Google Scholar
  3. 3.
    Deslauriers J, Grégoire J, Jaques LF, Piraux M. Sleeve pneumonectomy. Thorac Surg Clin. 2004;14:183–90.PubMedCrossRefGoogle Scholar
  4. 4.
    Lanuti M, Mathisen DJ. Carinal resection. Thorac Surg Clin. 2004;14:199–209.PubMedCrossRefGoogle Scholar
  5. 5.
    Grillo HC. Carcinoma of the lung: what can be done if the carina is involved? Am J Surg. 1982;143:694–6.PubMedCrossRefGoogle Scholar
  6. 6.
    Dartevelle PG, Khalife J, Chapelier AR, et al. Tracheal sleeve pneumonectomy for bronchogenic carcinoma: a report of 55 cases. Ann Thorac Surg. 1988;46:68–72.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.Department of SurgeryThoraxklinik Heidelberg, Heidelberg UniversityHeidelbergGermany

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