carinal resection
Pronunciation: ka-RY-nal
A complex surgical procedure involving removal of the carina (the bifurcation point of the main bronchi) with subsequent reconstruction.
Full Definition
Carinal resection is one of the most technically demanding procedures in thoracic surgery, involving the removal of the carina - the ridge-like structure at the bifurcation of the trachea into the main bronchi. This procedure is typically performed for tumors involving the carina or distal trachea that cannot be managed by standard lung resection. The operation requires careful preoperative planning, specialized anesthetic management, and meticulous surgical technique to reconstruct the airway. Reconstruction methods include end-to-end anastomosis, bronchial reimplantation, or use of various flaps or grafts.
Usage
Usage note: Use 'carinal resection' specifically; avoid abbreviating to 'carina resection' in formal documentation.
In Context
- "The tumor's involvement of the carina necessitated carinal resection with right pneumonectomy." — Operative report
- "Carinal resection requires specialized expertise and should be performed only at high-volume centers." — Surgical referral guidelines