ArticleThe Annals of thoracic surgery2016
Video-Assisted Thoracic Surgery Resection and Reconstruction of Carina and Trachea for Malignant or Benign Disease in 12 Patients: Three Centers' Experience in China.
Article in The Annals of thoracic surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.
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33 citing papers in PubMed.
- Robot-assisted tracheal carina resection and reconstruction for adenoid cystic carcinoma: a case report.Journal of cardiothoracic surgery · 2026Article
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- Robot-assisted thoracoscopic tracheal carina resection and reconstruction under spontaneous-ventilation anesthesia with a single-lumen endotracheal tube: case report and literature review.Journal of cardiothoracic surgery · 2025Review
- Real-world oncologic outcomes of thoracoscopic and open tracheal cancer resection.Journal of thoracic disease · 2025Article
- ECMO-assisted bilateral uniportal thoracoscopic carinal resection and reconstruction: a case report.Journal of cardiothoracic surgery · 2025Article
- Fully robotic circumferential resection for midtracheal mucoepidermoid carcinoma: a report of 2 cases.AME case reports · 2025Article
- Robotic-assisted tracheal resection for adenoid cystic carcinoma with extracorporeal membrane oxygenation support.JTCVS techniques · 2023Article
- Bronchoplasty for pulmonary preservation: A novel technique.JTCVS techniques · 2023Article
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- Case report: video-assisted thoracoscopic repair of right main bronchus transection after blunt chest injury.AME case reports · 2023Article
- Video-assisted thoracoscopic tracheal resection with only endobronchial intubation.General thoracic and cardiovascular surgery · 2022Article
- High-frequency jet ventilation jets the way to minimally invasive carinal resection?Journal of thoracic disease · 2022Article
- The efficacy of high-frequency jet ventilation on intraoperative oxygen saturation compared to cross-field ventilation in patients undergoing carinal resection and reconstruction.Journal of thoracic disease · 2022Article
- A simple and practical intraoperative ventilation technique for uniportal video-assisted thoracoscopic tracheal reconstruction: a case report.Annals of translational medicine · 2022Article
- Case Report: ECMO-Assisted Uniportal Thoracoscopic Tracheal Tumor Resection and Tracheoplasty: A New Breakthrough Method.Frontiers in surgery · 2022Article
- Airway management and anesthesia for airway surgery: a narrative review.Translational lung cancer research · 2021Review
- Editorial on: are we achieving ultimative limits of the minimally invasive thoracic surgery?Translational lung cancer research · 2021Article
- Robotic-assisted non-intubated tracheal resection: the most excellent care or an unnecessary surgical challenge?Annals of translational medicine · 2021Article
- Pushing the boundaries of minimally invasive surgery.Translational lung cancer research · 2021Article
- Surgical perception of lower tracheal or carinal resection.Translational lung cancer research · 2021Article
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11 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundAlthough video-assisted thoracoscopic surgery (VATS) has been widely applied to both peripheral and central lung cancer treatment in many centers, there is great hesitation to adopt it for carinal or tracheal surgical procedures. The aims of this study were to explore the feasibility of VATS in the treatment of benign and malignant diseases involving the carina and trachea and to highlight relevant techniques.
methodsPatients undergoing VATS carinal or tracheal procedures between May 2012 and July 2015 from three centers in China were included in this study. Their clinical characteristics, operative details, and postoperative course were analyzed.
resultsTwelve patients underwent five different types of VATS airway reconstructions with or without lobectomy: including right bronchial resection with partial carinal reconstruction (3 patients), tracheal resection and reconstruction (4 patients), tracheal or right bronchial resection with carinal reconstruction (3 patients), left bronchial resection with carinal reconstruction (1 patient), and right pneumonectomy with carinal reconstruction (1 patient). Complete resection was achieved in all patients. The mean operative time was 224 ± 78 minutes, and the median time of the first anastomosis was 41 minutes (range, 15 to 60 minutes), regardless of whether the reconstruction was a tracheal or carinal. The median estimated blood loss was 100 mL (range 10 to 1000 mL). The mean postoperative hospital stay was 12.5 ± 2.5 days. There was no perioperative mortality or major morbidity. Median duration of follow-up was 12 months (range 5 to 43 months).
conclusionsVATS resection and reconstruction of the carina or trachea are feasible, and these procedures can be safely performed using the techniques described. We believe, with the accumulation of VATS experience, these procedures could be adopted as routine approaches in tracheal surgery.
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