title: Complications Following Carinal Resections and Sleeve Resections.
abstract: Pulmonary resections with concomitant circumferential airway resection and resection and reconstruction of carina and main stem bronchi remain challenging operations in thoracic surgery. Anastomotic complications range from mucosal sloughing and formation of granulation tissue, anastomotic ischemia promoting scar formation and stricture, to anastomotic breakdown leading to bronchopleural or bronchovascular fistulae or complete dehiscence. Careful attention to patient selection and technical detail results in acceptable morbidity and mortality as well as good long-term survival. In this article, we focus on the technical details of the procedures, how to avoid complications and most importantly how to manage complications when they occur.
authors.affiliation: Division of Thoracic Surgery, Department of Surgery, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, Blake 15, Boston, MA 02114, USA.
authors.forename: Luis F
authors.initials: LF
authors.lastname: Tapias
authors.affiliation: Division of Thoracic Surgery, Department of Surgery, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, Blake 15, Boston, MA 02114, USA.
authors.forename: Harald C
authors.initials: HC
authors.lastname: Ott
authors.affiliation: Division of Thoracic Surgery, Department of Surgery, Massachusetts General Hospital, Harvard Medical School, 55 Fruit Street, Blake 15, Boston, MA 02114, USA. Electronic address: dmathisen@mgh.harvard.edu.
authors.forename: Douglas J
authors.initials: DJ
authors.lastname: Mathisen
mesh_terms: D001980:Bronchi / Q000601:surgery*; D001999:Bronchoscopy; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control; D019616:Thoracic Surgical Procedures / Q000009:adverse effects* / Q000379:methods; D014132:Trachea / Q000601:surgery*
keywords: Airway anastomosis; Airway stenosis; Bronchopleural fistula; Carinal resection; Sleeve resection