Two cases of carina resection for bronchogenic tumor with lung parenchyma sparing: A brief report.

INTRODUCTION: Carinal resection (CR) with or without lung parenchyma sparing is one of the challenging issues in thoracic surgery and performed rarely. It is usually not used for the difficulty of the technique, or, in the majority of the situations, it is replaced by pneumonectomy when the patient conditions and the tumor characteristics allow the radical surgical approach. The difficulty includes the dissection of the trachea and main bronchi, the resection of the carina and the reconstruction of the trachea and bronchus. In spite of the knowledge of the technique, one of the most important problem is the incidence of postoperative complications which is higher compared to standard resections.

CLINICAL CASES: We show two cases of carina resection for a bronchogenic tumor with lung parenchyma sparing and good postoperative outcomes.

CONCLUSION: Our results demonstrate that this type of surgery is possible in selected centers with good quality of life for the patient after surgery.