Carinal resection and reconstruction in surgical treatment of XXXX with carinal involvement.

@entity1 @entity834 @entity55 @entity5 @entity254 @entity177 @entity891 @entity153 @entity943 @entity204
BACKGROUND: Carinal resection and reconstruction is technically demanding. The aim of this study is to discuss the clinical value of carinoplasty in the surgical treatment of @entity153 involving carina. MATERIALS AND METHODS: From 1982 to 2006, 41 cases of centrally placed @entity153 invading the carina were treated with carinal resection and reconstruction in our hospital. Among the 41 @entity1 , 25 @entity1 simultaneously underwent additional cardiovascular plasty operations besides carinoplasty. There were 12 different types of carinal resection and reconstruction in our group. RESULTS: In this group, there was one perioperative @entity204 due to @entity834 . This @entity1 died 2 weeks postoperatively. @entity943 occurred in 12 @entity1 , @entity891 in eight @entity1 , and @entity55 in five @entity1 . Five @entity1 had to be assisted with mechanical ventilation because of @entity177 . @entity254 stenoses were found in three @entity1 3 to 6 months postoperatively and were resolved by stent insertion. Thirty-one @entity1 were diagnosed with @entity5 recurrences after operations. Progression-free survival was 75.6% at 1 year, 43.9% at 3 years, and 22.0% at 5 years; the overall actuarial survival was 75.6% at 1 year, 46.3% at 3 years, and 26.8% at 5 years. Survival was better in @entity1 with N0-1 disease than those with N2 disease (37.0% versus 7.1% at 5 years). CONCLUSION: Carinoplasty for @entity153 involving carina is feasible with acceptable morbidity and mortality if @entity1 are selected carefully. Preoperative evaluation of the mediastinum is crucial for treatment selection.
