[Resection and reconstruction of the carina]

A case of recurrent adenoid cystic carcinoma after right middle lobectomy is reported. A right lower lobectomy with resection of carina was performed as the lesion involved the right main bronchus, the carina and the orifice of right lower lobe. The carina was reconstructed by the anastomosis of right upper lobe bronchus to the left main bronchus. The postoperative course was uneventful. After two months, the stitch granuloma at the site of anastomosis developed and it was satisfactorily managed by local palliative measures. No recurrence has been found during a follow-up of 1.5 years.