Original articleGeneral thoracicVideo-Assisted Thoracic Surgery Resection and Reconstruction of Carina and Trachea for Malignant or Benign Disease in 12 Patients: Three Centers’ Experience in China
Section snippets
Study Population
The medical ethics boards of all participating hospitals approved this study. Between May 2012 and July 2015, 12 patients underwent VATS carinal or tracheal resection and reconstruction for benign or malignant diseases at the First Affiliated Hospital of Guangzhou Medical University (Guangzhou, China) (patients 1 to 9), the Affiliated Hospital of Qingdao University (Qingdao, China) (patients 10 and 11), and the Affiliated Union Hospital of Fujian Medical University (Fuzhou, China) (patient 12).
Results
The 12 patients (5 men and 7 women) had a mean age of 52 ± 8 years. The preoperative forced expiratory volume was 1.67 ± 0.74 L, with a mean percentage of predicted value of 62.3 ± 29.0%. The mean percentage of predicted diffusion capacity for carbon monoxide of the lung was 85.7 ± 9.0%. The underlying disorders were squamous cell carcinoma (3 patients), mucoepidermoid carcinoma (2 patients), adenoid cystic carcinoma (2 patients), endobronchial tuberculosis (2 patients), atypical carcinoid
Comment
We shared our experience of performing VATS tracheal or carinal resection and reconstructions in a variety of situations. In this series, no in-hospital mortality or major morbidity occurred. This finding compared favorably with previously reported postoperative mortality rates after open thoracotomy, which ranged from 2.4% to 12.7% 4, 5, 6. Although the median follow-up was only 12 months, the first patient in this series remained well at 43 months.
We believe that the favorable outcome is
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Drs Li, Wang, and Jiang contributed equally to this work.