title: [A case of lung cancer underwent carinal resection with right upper lobectomy and carinal reconstruction with double-barreled anastomosis].
abstract: A 70-year-old male complaining cough was admitted to our hospital. Bronchoscopic examination revealed a tumor mass which occluded the orifice of the right upper lobe. Chest computed tomographic (CT) scans gave the image of tumor invasion at the carina. The pathological diagnosis of the tumor was squamous cell carcinoma. Operation was accomplished by right posterolateral thoracotomy approach through the fifth rib bed. The carinal resection with right upper lobectomy was followed by a double-barreled anastomosis of the right intermediate trunk and left main-stem bronchus into the carina. The operation was successfully performed and was considered curative. The length of resected airway measured 4.0 cm from tracheal line of resection to the divided the right intermediate trunk. Reinforcement of the anastomosis was not performed in this case. No postoperative complication occurred but mild ischemia of the anastomosis. The patient died of recurrent tumor in a year and 2 months after operation.
authors.affiliation: Department of Surgery, Kin-Ikyo Chuo Hospital, Sapporo, Japan.
authors.forename: Y
authors.initials: Y
authors.lastname: Hosokawa
authors.forename: T
authors.initials: T
authors.lastname: Naruke
authors.forename: S
authors.initials: S
authors.lastname: Yamazaki
authors.forename: S
authors.initials: S
authors.lastname: Matsuge
authors.forename: Y
authors.initials: Y
authors.lastname: Murakami
authors.forename: K
authors.initials: K
authors.lastname: Satoh
authors.forename: T
authors.initials: T
authors.lastname: Yamakawa
authors.forename: H
authors.initials: H
authors.lastname: Hatakeyama
authors.forename: T
authors.initials: T
authors.lastname: Kan
authors.forename: T
authors.initials: T
authors.lastname: Kurokawa
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D017809:Fatal Outcome; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery*; D008297:Male; D009361:Neoplasm Invasiveness; D011013:Pneumonectomy / Q000379:methods*; D019651:Plastic Surgery Procedures / Q000379:methods*; D014134:Tracheal Neoplasms / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome