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Interact Cardiovasc Thorac Surg ; 29(4): 638-640, 2019 10 01.
Artigo em Inglês | MEDLINE | ID: mdl-31115440

RESUMO

Bronchoplasty is frequently required for radical resection of central typical carcinoid tumours. As sleeve bronchoplasty can be a complex procedure, an accurate evaluation of the tumour location is mandatory. Although the endobronchial part of the tumour can be easily evaluated by bronchoscopy, the exo-bronchial part is difficult to analyse with a standard computed tomography (CT) scan. A three-dimensional (3D) CT scan could be used to identify this exo-bronchial component of the tumour when planning a reconstruction. Herein, we present a case of a 59-year-old woman with a typical central carcinoid tumour of the right main bronchus. After 3D modelling, we successfully performed a total parenchyma-sparing resection with an intermedius bronchus reimplantation into the carina associated with the right upper bronchus anastomosis in the lateral trachea. The follow-up was uneventful. An endoscopy at 3 months showed excellent results.


Assuntos
Neoplasias Brônquicas/diagnóstico por imagem , Neoplasias Brônquicas/cirurgia , Tumor Carcinoide/diagnóstico por imagem , Tumor Carcinoide/cirurgia , Cirurgia Assistida por Computador , Procedimentos Cirúrgicos Torácicos , Anastomose Cirúrgica , Humanos , Imageamento Tridimensional , Masculino , Pessoa de Meia-Idade , Procedimentos de Cirurgia Plástica , Tomografia Computadorizada por Raios X , Traqueia/cirurgia
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