Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Sleeve pneumonectomy.

Jean Deslauriers1, Jocelyn Grégoire, Louis F Jacques

  • 1Department of Thoracic Surgery, Centre de Pneumologie de l'Hôpital Laval, 2725 Chemin Sainte-Foy, Sainte-Foy, Quebec, Canada. jean.deslauriers@chg.ulaval.ca

Thoracic Surgery Clinics
|September 24, 2004
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Is pneumonectomy still relevant for non-small cell lung cancer? Long-term overall survival from a 15-year experience.

Canadian journal of surgery. Journal canadien de chirurgie·2026
Same author

2025 Canadian Surgery Forum: Sept. 17-20, 2025.

Canadian journal of surgery. Journal canadien de chirurgie·2025
Same author

Transbrachial Catheter-Assisted Thrombolysis and Bailout Stenting for Massive Postoperative Pulmonary Embolism.

JACC. Case reports·2025
Same author

Human contributions to global soundscapes are less predictable than the acoustic rhythms of wildlife.

Nature ecology & evolution·2025
Same author

Lung cancer invading the chest wall: The role of site of chest wall invasion.

The Journal of thoracic and cardiovascular surgery·2024
Same author

Late presentation of a pulmonary artery sling.

JTCVS techniques·2024
Same journal

Pleuropulmonary Infectious Diseases: Impact of the Diseases and the Scarce Literature.

Thoracic surgery clinics·2026
Same journal

TB or Not TB-Septic or Resect? That Is the Question.

Thoracic surgery clinics·2026
Same journal

Surgery for Pulmonary Aspergillosis.

Thoracic surgery clinics·2026
Same journal

Current Treatment for Mediastinitis.

Thoracic surgery clinics·2026
Same journal

Surgical Management of Pulmonary Mucormycosis.

Thoracic surgery clinics·2026
Same journal

Surgical Management of Pulmonary Hydatid Disease.

Thoracic surgery clinics·2026
See all related articles

Surgical resection of lung cancer involving the carina is feasible but requires careful patient selection. This complex procedure, involving carinal resection and pneumonectomy, carries increased operative mortality risks.

Area of Science:

  • Thoracic Surgery
  • Surgical Oncology

Background:

  • Lung cancer involving the carina presents unique surgical challenges.
  • Surgical management necessitates careful patient selection and adherence to specific technical principles.

Purpose of the Study:

  • To outline the critical considerations for surgical resection of lung cancer involving the carina.
  • To define patient selection criteria and surgical techniques for improved outcomes.

Main Methods:

  • Review of surgical principles for carinal resection and pneumonectomy.
  • Emphasis on preoperative assessment, including mediastinal nodal staging.
  • Guidelines for safe bronchial suturing and airway resection limits.

Main Results:

  • Careful patient selection is paramount for minimizing operative mortality, which is 2-4 times higher than standard pneumonectomy.

Related Experiment Videos

  • Preoperative documentation of mediastinal nodal disease is a contraindication.
  • Safe resection is achievable within 4 cm of airway resection with proper technique.
  • Accepting a positive margin is preferable to avoiding bronchopleural fistula.

    • Conclusions:

    • Surgical resection of carinal lung cancer is a viable option for carefully selected patients.
    • Adherence to surgical principles and meticulous technique are essential for safety and long-term survival.
    • Reported long-term survival rates of 25-40% support the utility of this procedure.