Abstract
The patient was 51-year-old male with squamous cell carcinoma located around the orifice of the right upper-lobe bronchus invading the trachea and the bronchus intermedius. Pneumonectomy and concomitant resection of the carina were performed, followed by end-to-end anastomosis of the trachea and the left main bronchus.
Anastomosis was completed with interrupted sutures using 3-0 nylon. Ventilation was maintained through a flexible endotracheal tube inserted into the left main bronchus via the operating field. The site of the anastomosis was covered with an anterior mediastinal fat pad pedunculated with the internal thoracic artery and vein. The post-operative course was uneventful, and no abnormal granulation or stenosis was found endoscopically.
