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Zentralbl Chir 2024; 149(03): 298-307
DOI: 10.1055/a-2240-9974
Thoraxchirurgie
Übersicht

Resektionen der Trachealbifurkation

Carinal Resections
Alberto Lopez-Pastorini 
1   Thoraxklinik Köln, St. Hildegardis-Krankenhaus, Köln, Deutschland
,
Erich Stoelben
1   Thoraxklinik Köln, St. Hildegardis-Krankenhaus, Köln, Deutschland
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Zusammenfassung

Die Bifurkationsresektion wird in der Literatur übereinstimmend als einer der anspruchsvollsten thoraxchirurgischen Eingriffe beschrieben. Unter diesem Begriff werden verschiedene Eingriffe zusammengefasst, die abhängig von der zugrunde liegenden Erkrankung und ihrer Ausdehnung unterschiedliche Resektionsformen und Rekonstruktionstechniken erfordern. Aus chirurgischer Sicht sind vor allem die engen anatomischen Verhältnisse und die Technik der Rekonstruktion der zentralen Atemwege herausfordernd. Ein komplexes Atemwegsmanagement und eine aufwendige postoperative Nachsorge zeigen jedoch, dass diese Eingriffe über die chirurgische Expertise hinaus, die Leistung eines multidisziplinären Teams darstellen. Dieser Artikel widmet sich den wichtigsten prä-, intra- und postoperativen Aspekten dieser Eingriffe.

Abstract

Carinal resections are consistently described in the literature as one of the most challenging procedures in thoracic surgery. Depending on the underlying disease and its extent, different resection forms and reconstruction techniques are required. From a surgical point of view, the complex anatomy, and the technique of reconstruction of the central airway are particularly challenging. However, complex airway management and extensive postoperative follow-up demonstrate that these procedures require a multidisciplinary team effort beyond surgical expertise. This article reviews the most important pre-, intra-, and post-operative aspects of these challenging procedures.

Schlüsselwörter

Bifurkationsresektion - Manschettenpneumonektomie - Trachealtumore

Keywords

carinal resection - sleeve pneumonectomy - tracheal malignancies


Publication History

Received: 08 October 2023

Accepted after revision: 21 December 2023

Article published online:
15 February 2024

© 2024. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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