title: [Tracheo-carinal reconstruction, bronchoplasty and vascular reconstruction in the treatment of lung cancer].
abstract: BACKGROUND
  Reconstruction of carina, bronchoplasty and arterioplasty are widely used to extend the indication of lung cancer operation. Because these procedures preserve as many healthy lung tissues as possible, their therapeutic effect is better than pneumonectomy in many central lung cancer cases with poor cardiopulmonary function. The aim of this study is to explore the feasibility and indication of extended resection in selected patients with centrally located lung cancer.
  
  
  METHODS
  From November, 1979 to January, 2003, lobectomy or pneumonectomy combined with extended resection of tracheo-carina, bronchus or vessels were performed in 50 patients with centrally located lung cancer. Tracheo-carinal reconstruction and bronchoplasty were performed in 48 cases, and pulmonary arterioplasty in 2 cases.
  
  
  RESULTS
  Postoperative complications occurred in 4 patients (8.0%), and operative death occurred in 2 patients (4.0%). All the 48 patients were followed up from 1 to 10 years. The 1-, 3-, 5- and 10-year survival rate was 89.4% (42/47), 57.1% (20/35), 42.1% (8/19) and 25.0%(2/8) respectively.
  
  
  CONCLUSIONS
  Extended pulmonary resection combined with tracheo-carinal reconstruction, bronchoplasty and vascular reconstruction is feasible for selected patients with centrally located lung cancer. It is helpful to prolong the long-term survival of patients with lung cancer.
authors.affiliation: Department of Thoracic Surgery, First Affiliated Hospital, Xinjiang Medical University, Urumqi, Xinjiang 830000, P.R.China.
authors.forename: Mingbai
authors.initials: M
authors.lastname: Wu
authors.forename: Zhu
authors.initials: Z
authors.lastname: Zhang
authors.forename: Liwei
authors.initials: L
authors.lastname: Zhang
authors.lastname: Yiliyar
authors.forename: Changming
authors.initials: C
authors.lastname: Zhang
authors.forename: Hui
authors.initials: H
authors.lastname: Zhu