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Surgical treatment of bilateral thoracotomy in patients with lesions of left main bronchus invading carina
Ist Teil von
Zhong hua yi xue za zhi, 2010-01, Vol.90 (3), p.205-207
Ort / Verlag
China
Erscheinungsjahr
2010
Quelle
MEDLINE
Beschreibungen/Notizen
To investigate the outcome for surgical treatment of bilateral thoracotomy in patients with lesions of left main bronchus invading carina by bilateral thoracotomy.
The clinical data of 4 patients with lesions of left main bronchus invading carina undergoing bilateral thoracotomy were retrospectively reviewed.
There were two male and two female patients with a median age of 37.5 (range: 27 - 55) years old. Four patients were all accessed by bilateral thoracotomy, and received carinal reconstruction. Of these 4 patients, three patients received left pneumonectomy and one patient received carinal resection without concomitant pulmonary resection. Pathological results showed that one patient had tuberculosis. And other three patients were of 1 squamous cell carcinoma and 2 adenoid cystic carcinomas. Three patients received mechanical ventilation for a period of 3 - 21 days. one patient died of anastomotic dehiscence at 5 days postoperatively.
Bilateral thoracotomy is an alternative approach for relatively young p