Imanishi Naoko, Takenaka Masaru, Hirai Ayako, Tanaka Fumihiro
Second Department of Surgery, University of Occupational and Environmental Health, Japan.
Thorac Cardiovasc Surg. 2018 Mar;66(2):174-176. doi: 10.1055/s-0037-1603532. Epub 2017 Jun 19.
Surgical approach for resection-reconstruction of the proximal left main bronchus has been a matter of discussion. Through standard left thoracotomy, the proximal main bronchus close to the carina is not easily exposed. Accordingly, median sternotomy or right thoracotomy may be commonly employed, but the exposure and management of the distal left main bronchus may be difficult through the approach. Here, we present a left thoracotomy approach with traction of the trachea, which may easily allow excellent exposure of the proximal end of the left main bronchus and the carina.
左主支气管近端切除重建的手术入路一直是一个有争议的问题。通过标准的左胸切开术，靠近隆突的主支气管近端不易暴露。因此，通常采用正中胸骨切开术或右胸切开术，但通过这种入路对左主支气管远端的暴露和处理可能会很困难。在此，我们介绍一种通过牵拉气管的左胸切开术入路，该入路可能容易实现对左主支气管近端和隆突的良好暴露。
