Barclay's Type Carinal Resection Case
mediaposted on 04.06.2018 by Altan Kir
Media is any form of research output that is recorded and played. This is most commonly video, but can be audio or 3D representations.
In this video, the author presents a Barclay's type of carinal resection. The patient was a 54-year-old woman who had coughing, wheezing, and shortness of breath.
Chest x-ray and computed tomography (CT) scan showed air trapping in the left lung and a carinal mass. Bronchoscopy revealed a broad-based mass at the left tracheobronchial angle. The result of bronchoscopic biopsy was adenoid cystic carcinoma. Right thoracotomy was performed as a standard technique. The carina was dissected, the left main bronchus was transected and intubated, and then the carinal resection was completed. Frozen sectioning showed the surgical margins to be disease-free. The trachea and right main bronchus were anastomosed with 3/0 PDS® running suture. The right lung was ventilated with an endotracheal tube. The proximal bronchus intermedius was clamped, and a hole was created at the distal part of the bronchus intermedius. Then, an end-to-side anastomosis was performed between the left main and intermediate bronchus using a running suture with 3/0 PDS®. The final view of the airway before the chest was closed is shown in the video. The anastomoses were found to be intact during a bronchoscopy performed one week after the operation. The video shows the coronal section of the CT scan three months after the operation.