carinal reconstruction
Pronunciation: CARE-ih-nal
Complex surgical procedure to rebuild the carina after resection of tumors involving the main bronchial bifurcation.
Full Definition
An advanced thoracic surgical technique used when tumors involve the carina (the ridge of cartilage at the bifurcation of the trachea into main bronchi). This procedure involves resection of the affected carinal segment and reconstruction of the airway confluence using various techniques such as end-to-end anastomosis, bronchial reimplantation, or neo-carinal construction. Carinal reconstruction is technically demanding and requires expertise in airway management and surgical reconstruction. The procedure may be combined with pulmonary resection and carries higher morbidity than standard lung resections due to the complexity of the reconstruction and risk of anastomotic complications.
Usage
Usage note: Carina refers specifically to the main bronchial bifurcation; distinguish from other airway bifurcations.
In Context
- "Carinal reconstruction was necessary due to tumor extension across the main carina." — Surgical consultation note
- "The patient underwent right upper lobectomy with carinal reconstruction using end-to-end anastomosis." — Operative summary