Chest Surgery pp 105-112 | Cite as

Carinal Resection and Reconstruction

  • Hendrik C. DienemannEmail author
Part of the Springer Surgery Atlas Series book series (SPRISURGERY)


Tumors involving the main carina pose a considerable challenge to thoracic surgeons. On one hand, radical resection needs to be pursued; on the other, tension-free anastomoses are of great importance to ensure primary healing. Compromised healing of anastomoses is the predominant cause of morbidity and mortality. Various techniques for resection and reconstruction have been described; however, only a few institutions report a sufficient number of cases to provide reliable data concerning morbidity and mortality. The first publications with high case numbers go back to Grillo (1982) and Dartevelle et al. (1988). The mortality for tracheobronchoplastic surgery for lung cancer was reported to range from 10 % to almost 30 %.


Superior Vena Cava Main Bronchus Fourth Intercostal Space Anastomotic Region Left Mainstem Bronchus 
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Selected Bibliography

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  3. Grillo HC (1982) Carcinoma of the lung: what can be done if the carina is involved? Am J Surg 143:694–696Google Scholar
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  5. Mitchell JD, Mathisen DJ, Wright CD et al (2001) Resection for bronchogenic carcinoma involving the carina: long term results and effect of nodal status on outcome. J Thorac Cardiovasc Surg 121:465–471PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  1. 1.Department of Thoracic SurgeryThoraxklinik, University of HeidelbergHeidelbergGermany

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