The current state of carinal resection and role of minimally invasive techniques

Gritsiuta, Andrei I.; Bakhos, Charles; Petrov, Roman

doi:10.21037/tlcr-21-749

Cited by 4 publications

(2 citation statements)

References 44 publications

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“…8 Anterior transsternal approach to the distal trachea and carina is well described in the thoracic oncologic literature, however, it remains rarely utilized in the acute trauma practice. [9][10][11] Adequate exposure to the carina and trachea from a midline sternotomy incision can be achieved after anterior and posterior pericardiotomy with retraction of the ascending aorta and SVC apart. The SVC and ascending aorta are each encircled with umbilical tape, allowing for airway repair and reconstruction.…”

Section: Discussionmentioning

confidence: 99%

Penetrating firearm tracheal injury with cardiac arrest due to tension pneumopericardium

Patel,

Dulak,

Sjoholm

et al. 2023

Trauma

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Firearm-associated tracheal injuries occur infrequently and as such there is no standard approach. We present a case of tension pneumopericardium due to a firearm-associated tracheal injury which was successfully repaired through an anterior midline sternotomy approach. In hemodynamically unstable patients who cannot tolerate posterolateral approaches, the anterior midline sternotomy approach to the airway should be considered. We demonstrate that this approach can provide adequate access for decompression of tension physiology and repair of airway injury.

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Section: Discussionmentioning

confidence: 99%

Penetrating firearm tracheal injury with cardiac arrest due to tension pneumopericardium

Patel,

Dulak,

Sjoholm

et al. 2023

Trauma

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“…However, other studies challenge this conclusion with significantly lower rate of ARDS after HFJV of around 2% ( 9 ). HFJV makes minimally invasive surgery such as VATS or RATS an effective and feasible approach for carinal resection and reconstruction ( 10 ). Li et al and He et al summarized their experience of VATS resection and reconstruction of the carina or trachea, using cross-field ventilation, HFJV, and spontaneous breathing anesthesia with excellent results ( 11 , 12 ).…”

mentioning

confidence: 99%