title: Carinal resection and reconstruction for recurrent lung cancer.
abstract: A patient with a recurrent tumor in the trachea adjacent to the right main bronchus was treated by surgical resection 19 months after undergoing surgery for the primary cancer. The patient had previously undergone right upper lobectomy for T1N0M0 stage I squamous cell carcinoma. A carinal resection was performed which included 4 rings of the trachea, 2 rings of the right main bronchus, and 1 ring of the left main bronchus. Reconstruction consisted of an end-to-end anastomosis of the trachea and left main bronchus, and an end-to-side anastomosis of the right and left main bronchi. The postoperative course was uneventful, and at present the patient is healthy 12 months following reoperation.
authors.affiliation: Second Department of Surgery, Fukuoka University School of Medicine, Jonan-ku, Japan.
authors.forename: K
authors.initials: K
authors.lastname: Kawahara
authors.forename: T
authors.initials: T
authors.lastname: Shiraishi
authors.forename: K
authors.initials: K
authors.lastname: Okabayashi
authors.forename: A
authors.initials: A
authors.lastname: Iwasaki
authors.forename: Y
authors.initials: Y
authors.lastname: Yoshinaga
authors.forename: K
authors.initials: K
authors.lastname: Hayashi
authors.forename: J
authors.initials: J
authors.lastname: Yamashita
authors.forename: T
authors.initials: T
authors.lastname: Shirakusa
mesh_terms: D000368:Aged; D001999:Bronchoscopy; D002294:Carcinoma, Squamous Cell / Q000556:secondary* / Q000601:surgery*; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery*; D008197:Lymph Node Excision; D008297:Male; D011013:Pneumonectomy / Q000379:methods; D011184:Postoperative Period; D012086:Reoperation; D014132:Trachea / Q000601:surgery*; D014134:Tracheal Neoplasms / Q000556:secondary* / Q000601:surgery*