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C 1 • European Journal of --- aralothoracic Letter to the editor Surgery © Springer-Verlag 1988 Eur J Cardio-thorac Surg (1988) 2:133 Letter to the editor ! would like to congratuate Doctor G. M. Salzer other patients have been reported. In February and colleagues for their successful resection of the 1985, at a symposium in Munich which Doctor tracheal bifurcation through a left thoracotomy Salzer attended, I was able to present two of our [Eur J Cardio-thorac Surg (1987) 1: 125-128]. This own cases with adenoid cystic carcinoma, who approach is indeed rarely used for the resection of were operated upon through a left thoracotomy a bifurcation because of the reasons listed in their with resection of the tracheal bifurcation (Fig. text. Besides the two cases presented, only eight 1 a, b). Bifurcational resection was carried out in a third case, a 5 l-year-old woman with carcinoid adenoma of the left main bronchus invading the carina, which was complicated by hemoptysis and the threat of suffocation (10 March 1986). In this case, a fight-sided approach according to Perel- man was employed. The patient is doing well. In this context the report of J. Deslauriers [1] should be mentioned where two-stage left tra- cheal sleeve pneumonectomy was performed in tumors of the left main bronchus invading the carina. Reference 1. Deslauriers J (1985) Involvement of the main carina. In: 9 Delarue NC, Eschapers H (eds) Lung cancer, vol 1: Inter- national trends in general thoracic surgery. Saunders, Phila- delphia, pp 139-145 Fig. 1. a Left thoracotomy. Adenocystic carcinoma in the left Frigyes Kulka, MD main bronchus and carina resection; reconstruction (E.F., Professor of Surgery 43 years of age). b Left thoracotomy. Adenocystic carcinoma I. Seb6szeti Klinika in the left main bronchus and carina pneumonectomy; recon- Szabolcs utca 35 struction of the new carina with a bronchial flap (N.J., H-Budapest XIII 39 years old) Hungary
European Journal of Cardio-Thoracic Surgery – Oxford University Press
Published: Mar 1, 1988
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