Simplified carinal wedge resection and reconstruction

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Carinal resection remains a technical challenge to thoracic surgeons. There is no single, ideal technique for reconstruction. Reduction of anastomotic tension is the principal concern for carinal resection and reconstruction. We report a case of carinal wedge resection for a carinal tumor; the medial walls of left and right main bronchus were sutured together to create a "neocarina." Thus, maintaining the continuity between the trachea and bronchus has no longitudinal tension. This procedure is feasible for carinal reconstruction with a limited wedge resection. © 2014 by The Society of Thoracic Surgeons Published by Elsevier Inc.




Xie, D., Ding, J., Zhou, X., Fei, K., You, X., & Jiang, G. (2014). Simplified carinal wedge resection and reconstruction. Annals of Thoracic Surgery, 98(2), 731–733.

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