Lee Hee Sung, Kim Hyoung-Soo, Shin Ho-Seung, Kim Sung Jun, Cho Sung-Woo, Kim Kun-Il
Department of Thoracic and Cardiovascular Surgery, Kangnam Sacred Heart Hospital, Korea.
Korean J Thorac Cardiovasc Surg. 2011 Apr;44(2):193-6. doi: 10.5090/kjtcs.2011.44.2.193. Epub 2011 Apr 14.
Bronchogenic carcinoma involving the carina has remained a challenging problem for thoracic surgeons. Carinal resection and reconstruction is limitedly indicated because this aggressive surgical approach has been reported to be associated with significant morbidity and mortality while long-term outcome has not been determined. Wesuccessfully performed carinal reconstruction and sleeve right upper lobectomy assisted with ECMO for a 60-year-old male with squamous cell carcinoma in the right upper lobe extending to the carina.
累及隆突的支气管源性癌一直是胸外科医生面临的一个具有挑战性的问题。隆突切除重建的适应证有限,因为据报道,这种激进的手术方式会导致显著的发病率和死亡率,而长期疗效尚未确定。我们成功地为一名60岁男性患者进行了隆突重建及右肺上叶袖状切除术,该患者患有右肺上叶鳞状细胞癌,肿瘤已延伸至隆突,手术过程中使用了体外膜肺氧合(ECMO)辅助。