title: Carinal resection.
abstract: Carinal resections and reconstructions, with or without lung resection, are challenging operations that may be indicated in less than 1% of operable patients with NSCLC or benign lesions involving the carina. These operations are completed in only a few centers worldwide, likely because of their technical complexity and the general opinion about their limited patient benefit. However, good survival results can be expected in pN0 or pN1 patients so that, in experienced hands, these operations are effective options. The risk of postoperative complications can be minimized by several intraoperative and postoperative precautions.
authors.affiliation: Thoracic Surgery, University Hospital Careggi, Largo Brambilla 3, Florence 50134, Italy.
authors.forename: Alessandro
authors.initials: A
authors.lastname: Gonfiotti
authors.affiliation: General and Thoracic Surgery, Sandro Pertini Hospital, Via dei Monti Tiburtini 385, Rome 00157, Italy.
authors.forename: Massimo Osvaldo
authors.initials: MO
authors.lastname: Jaus
authors.affiliation: Thoracic Surgery, University Hospital Careggi, Largo Brambilla 3, Florence 50134, Italy.
authors.forename: Daniel
authors.initials: D
authors.lastname: Barale
authors.affiliation: Advanced Center for Translational Regenerative Medicine (ACTREM), Karolinska Institutet, Alfred Nobels Allé 8, Huddinge, Stockholm SE-141 86, Sweden. Electronic address: paolo.macchiarini@ki.se.
authors.forename: Paolo
authors.initials: P
authors.lastname: Macchiarini
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods; D001980:Bronchi / Q000601:surgery*; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery*; D011013:Pneumonectomy / Q000379:methods; D019651:Plastic Surgery Procedures / Q000379:methods*; D019616:Thoracic Surgical Procedures / Q000379:methods*; D014132:Trachea / Q000601:surgery*
keywords: Airway; Carinal pneumonectomy; Lung cancer; Sleeve pneumonectomy; Trachea