Cargando…

Right tracheal sleeve pneumonectomy with VV-ECMO assistance for non-small cell lung cancer through anterior thoracotomy: a single centre experience

For a long time, non-small cell lung cancer (NSCLC) arising less than 2 cm distal to the carina has been usually considered unresectable and incurable with a radical or extended resection because of surgical technical difficulty and airway management. Recently, the introduction of more advanced surg...

Descripción completa

Detalles Bibliográficos
Autores principales: Marziali, Valentina, Mangiameli, Giuseppe, Crepaldi, Alessandro, Piccioni, Federico, Costantini, Elena, Citterio, Enrico, Borbone, Alessandro, Cariboni, Umberto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10435269/
https://www.ncbi.nlm.nih.gov/pubmed/37601529
http://dx.doi.org/10.3389/fsurg.2023.1238462
_version_ 1785092062093246464
author Marziali, Valentina
Mangiameli, Giuseppe
Crepaldi, Alessandro
Piccioni, Federico
Costantini, Elena
Citterio, Enrico
Borbone, Alessandro
Cariboni, Umberto
author_facet Marziali, Valentina
Mangiameli, Giuseppe
Crepaldi, Alessandro
Piccioni, Federico
Costantini, Elena
Citterio, Enrico
Borbone, Alessandro
Cariboni, Umberto
author_sort Marziali, Valentina
collection PubMed
description For a long time, non-small cell lung cancer (NSCLC) arising less than 2 cm distal to the carina has been usually considered unresectable and incurable with a radical or extended resection because of surgical technical difficulty and airway management. Recently, the introduction of more advanced surgical techniques, often including the use of extracorporeal life support (ECLS), has allowed us to extend the limits of conventional surgery, increasing the rate of complete surgical resection. ECLS also overcomes the limitation of conventional ventilation during complex tracheo-bronchial reconstruction, avoiding the presence of disturbing lines or tubes that obstruct the operative field during a challenging surgery. In this article, we share our experience in performing right tracheal sleeve pneumonectomy with veno-venous extracorporeal membrane oxygenation (VV-ECMO) in three cases by anterior right thoracotomy, reporting our tips and tricks.
format Online
Article
Text
id pubmed-10435269
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Frontiers Media S.A.
record_format MEDLINE/PubMed
spelling pubmed-104352692023-08-18 Right tracheal sleeve pneumonectomy with VV-ECMO assistance for non-small cell lung cancer through anterior thoracotomy: a single centre experience Marziali, Valentina Mangiameli, Giuseppe Crepaldi, Alessandro Piccioni, Federico Costantini, Elena Citterio, Enrico Borbone, Alessandro Cariboni, Umberto Front Surg Surgery For a long time, non-small cell lung cancer (NSCLC) arising less than 2 cm distal to the carina has been usually considered unresectable and incurable with a radical or extended resection because of surgical technical difficulty and airway management. Recently, the introduction of more advanced surgical techniques, often including the use of extracorporeal life support (ECLS), has allowed us to extend the limits of conventional surgery, increasing the rate of complete surgical resection. ECLS also overcomes the limitation of conventional ventilation during complex tracheo-bronchial reconstruction, avoiding the presence of disturbing lines or tubes that obstruct the operative field during a challenging surgery. In this article, we share our experience in performing right tracheal sleeve pneumonectomy with veno-venous extracorporeal membrane oxygenation (VV-ECMO) in three cases by anterior right thoracotomy, reporting our tips and tricks. Frontiers Media S.A. 2023-08-03 /pmc/articles/PMC10435269/ /pubmed/37601529 http://dx.doi.org/10.3389/fsurg.2023.1238462 Text en © 2023 Marziali, Mangiameli, Crepaldi, Piccioni, Costantini, Citterio, Borbone and Cariboni. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Surgery
Marziali, Valentina
Mangiameli, Giuseppe
Crepaldi, Alessandro
Piccioni, Federico
Costantini, Elena
Citterio, Enrico
Borbone, Alessandro
Cariboni, Umberto
Right tracheal sleeve pneumonectomy with VV-ECMO assistance for non-small cell lung cancer through anterior thoracotomy: a single centre experience
title Right tracheal sleeve pneumonectomy with VV-ECMO assistance for non-small cell lung cancer through anterior thoracotomy: a single centre experience
title_full Right tracheal sleeve pneumonectomy with VV-ECMO assistance for non-small cell lung cancer through anterior thoracotomy: a single centre experience
title_fullStr Right tracheal sleeve pneumonectomy with VV-ECMO assistance for non-small cell lung cancer through anterior thoracotomy: a single centre experience
title_full_unstemmed Right tracheal sleeve pneumonectomy with VV-ECMO assistance for non-small cell lung cancer through anterior thoracotomy: a single centre experience
title_short Right tracheal sleeve pneumonectomy with VV-ECMO assistance for non-small cell lung cancer through anterior thoracotomy: a single centre experience
title_sort right tracheal sleeve pneumonectomy with vv-ecmo assistance for non-small cell lung cancer through anterior thoracotomy: a single centre experience
topic Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10435269/
https://www.ncbi.nlm.nih.gov/pubmed/37601529
http://dx.doi.org/10.3389/fsurg.2023.1238462
work_keys_str_mv AT marzialivalentina righttrachealsleevepneumonectomywithvvecmoassistancefornonsmallcelllungcancerthroughanteriorthoracotomyasinglecentreexperience
AT mangiameligiuseppe righttrachealsleevepneumonectomywithvvecmoassistancefornonsmallcelllungcancerthroughanteriorthoracotomyasinglecentreexperience
AT crepaldialessandro righttrachealsleevepneumonectomywithvvecmoassistancefornonsmallcelllungcancerthroughanteriorthoracotomyasinglecentreexperience
AT piccionifederico righttrachealsleevepneumonectomywithvvecmoassistancefornonsmallcelllungcancerthroughanteriorthoracotomyasinglecentreexperience
AT costantinielena righttrachealsleevepneumonectomywithvvecmoassistancefornonsmallcelllungcancerthroughanteriorthoracotomyasinglecentreexperience
AT citterioenrico righttrachealsleevepneumonectomywithvvecmoassistancefornonsmallcelllungcancerthroughanteriorthoracotomyasinglecentreexperience
AT borbonealessandro righttrachealsleevepneumonectomywithvvecmoassistancefornonsmallcelllungcancerthroughanteriorthoracotomyasinglecentreexperience
AT cariboniumberto righttrachealsleevepneumonectomywithvvecmoassistancefornonsmallcelllungcancerthroughanteriorthoracotomyasinglecentreexperience