ECMO-assisted bilateral uniportal thoracoscopic carinal resection and reconstruction: a case report
Abstract Background Carinal resection and reconstruction are complex surgical procedures often necessitated by tumors or other pathologies involving the tracheobronchial junction. Traditional approaches to these surgeries are highly invasive. The advent of uniportal video-assisted thoracoscopic surg...
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| Format: | Article |
| Language: | English |
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BMC
2025-01-01
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| Series: | Journal of Cardiothoracic Surgery |
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| Online Access: | https://doi.org/10.1186/s13019-024-03196-7 |
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| author | Bin Wu Yinliang Sheng Zhenyang Geng Yiming Xu Xueyuan Fan Ping Yuan Feng Li Yu Qi |
| author_facet | Bin Wu Yinliang Sheng Zhenyang Geng Yiming Xu Xueyuan Fan Ping Yuan Feng Li Yu Qi |
| author_sort | Bin Wu |
| collection | DOAJ |
| description | Abstract Background Carinal resection and reconstruction are complex surgical procedures often necessitated by tumors or other pathologies involving the tracheobronchial junction. Traditional approaches to these surgeries are highly invasive. The advent of uniportal video-assisted thoracoscopic surgery (VATS) along with the integration of extracorporeal membrane oxygenation (ECMO) offer potential advantages in reducing surgical trauma and improving outcomes. Case presentation A 42-year-old female patient was admitted to the hospital with the chief complaint of “chest tightness for 20 days”. Enhanced chest CT revealed a soft tissue shadow on the tracheal bifurcation wall, protruding into the left main bronchus opening. After multidisciplinary discussions and the exclusion of surgical contraindications, we performed ECMO-assisted uniportal VATS carinal resection and reconstruction for the patient. The patient’s postoperative course was uneventful, and she was discharged on postoperative day 4 with satisfactory respiratory function and no major complications. Conclusions This case demonstrates the feasibility and potential benefits of combining ECMO support with uniportal VATS for complex carinal surgeries. The approach minimizes surgical trauma, ensures stable intraoperative conditions, and may enhance postoperative recovery. Further studies are warranted to validate these findings and establish standardized protocols for such advanced surgical techniques. |
| format | Article |
| id | doaj-art-7b1618efc79c4c1aafb6c0c1c23d8d17 |
| institution | Kabale University |
| issn | 1749-8090 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj-art-7b1618efc79c4c1aafb6c0c1c23d8d172025-01-05T12:45:38ZengBMCJournal of Cardiothoracic Surgery1749-80902025-01-012011710.1186/s13019-024-03196-7ECMO-assisted bilateral uniportal thoracoscopic carinal resection and reconstruction: a case reportBin Wu0Yinliang Sheng1Zhenyang Geng2Yiming Xu3Xueyuan Fan4Ping Yuan5Feng Li6Yu Qi7Department of Thoracic Surgery, The First Affiliated Hospital of Zhengzhou UniversityDepartment of Thoracic Surgery, The First Affiliated Hospital of Zhengzhou UniversityDepartment of Thoracic Surgery, The First Affiliated Hospital of Zhengzhou UniversityDepartment of Thoracic Surgery, The First Affiliated Hospital of Zhengzhou UniversityDepartment of Thoracic Surgery, The First Affiliated Hospital of Zhengzhou UniversityDepartment of Thoracic Surgery, The First Affiliated Hospital of Zhengzhou UniversityDepartment of Thoracic Surgery, The First Affiliated Hospital of Zhengzhou UniversityDepartment of Thoracic Surgery, The First Affiliated Hospital of Zhengzhou UniversityAbstract Background Carinal resection and reconstruction are complex surgical procedures often necessitated by tumors or other pathologies involving the tracheobronchial junction. Traditional approaches to these surgeries are highly invasive. The advent of uniportal video-assisted thoracoscopic surgery (VATS) along with the integration of extracorporeal membrane oxygenation (ECMO) offer potential advantages in reducing surgical trauma and improving outcomes. Case presentation A 42-year-old female patient was admitted to the hospital with the chief complaint of “chest tightness for 20 days”. Enhanced chest CT revealed a soft tissue shadow on the tracheal bifurcation wall, protruding into the left main bronchus opening. After multidisciplinary discussions and the exclusion of surgical contraindications, we performed ECMO-assisted uniportal VATS carinal resection and reconstruction for the patient. The patient’s postoperative course was uneventful, and she was discharged on postoperative day 4 with satisfactory respiratory function and no major complications. Conclusions This case demonstrates the feasibility and potential benefits of combining ECMO support with uniportal VATS for complex carinal surgeries. The approach minimizes surgical trauma, ensures stable intraoperative conditions, and may enhance postoperative recovery. Further studies are warranted to validate these findings and establish standardized protocols for such advanced surgical techniques.https://doi.org/10.1186/s13019-024-03196-7VATSCarinal reconstructionECMOTracheal tumorCase report |
| spellingShingle | Bin Wu Yinliang Sheng Zhenyang Geng Yiming Xu Xueyuan Fan Ping Yuan Feng Li Yu Qi ECMO-assisted bilateral uniportal thoracoscopic carinal resection and reconstruction: a case report Journal of Cardiothoracic Surgery VATS Carinal reconstruction ECMO Tracheal tumor Case report |
| title | ECMO-assisted bilateral uniportal thoracoscopic carinal resection and reconstruction: a case report |
| title_full | ECMO-assisted bilateral uniportal thoracoscopic carinal resection and reconstruction: a case report |
| title_fullStr | ECMO-assisted bilateral uniportal thoracoscopic carinal resection and reconstruction: a case report |
| title_full_unstemmed | ECMO-assisted bilateral uniportal thoracoscopic carinal resection and reconstruction: a case report |
| title_short | ECMO-assisted bilateral uniportal thoracoscopic carinal resection and reconstruction: a case report |
| title_sort | ecmo assisted bilateral uniportal thoracoscopic carinal resection and reconstruction a case report |
| topic | VATS Carinal reconstruction ECMO Tracheal tumor Case report |
| url | https://doi.org/10.1186/s13019-024-03196-7 |
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