CARINAL RESECTION AND RECONSTRUCTION FOR RECURRENT LUNG-CANCER

A patient with a recurrent tumor in the trachea adjacent to the right main bronchus was treated by surgical resection 19 months after underg oing surgery for the primary cancer. The patient had previously underg one right upper lobectomy for T1N0M0 stage I squamous cell carcinoma. A carinal resection was performed which included 4 rings of the trache a, 2 rings of the right main bronchus, and 1 ring of the left main bro nchus. Reconstruction consisted of an end-to-end anastomosis of the tr achea and left main bronchus, and an end-to-side anastomosis of the ri ght and left main bronchi. The postoperative course was uneventful, an d at present the patient is healthy 12 months following reoperation.