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J Thorac Dis. 2016 Jan;8(1):198-203. doi: 10.3978/j.issn.2072-1439.2016.01.45.

Video-assisted thoracoscopic surgery tracheal resection and carinal reconstruction for tracheal adenoid cystic carcinoma.

Author information

1
1 Department of Thoracic Surgery, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China ; 2 Guangzhou Institute of Respiratory Disease, Guangzhou 510120, China ; 3 Key cite of National Clinical Research Center for Respiratory Diseases, Guangzhou 510120, China ; 4 Department of Pathology, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China.

Abstract

We report a case of video-assisted thoracoscopic surgery (VATS) tracheal resection and carinal reconstruction in a patient with tracheal tumor. The patient presented with adenoid cystic carcinoma (ACC) of the distal trachea, extending along the right main bronchus with carinal invasion. The reconstruction procedure was assisted with cross-field ventilation. Postoperative clinical course of this case was good. The forced expiratory volume in the first second (FEV1) improved from 0.461 L (17% pred.) to 2.31 L (87% pred.) 1 month after the operation. VATS tracheal resection and carinal reconstruction is a feasible option for patients with tracheal tumor with carina involvement.

KEYWORDS:

Video assisted thoracic surgery (VATS); adenoid cystic carcinoma (ACC); carinal reconstruction; tracheal resection; tracheal tumor

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