Abstract
A surgical case of carinal reconstruction for adenoid cystic carcinoma was reported. The 70-year-old man complaining of bloody sputum, as adenoid cystic carcinoma was found to extend from the inferior margin of the 4th tracheal ring to the right upper bronchus. Airway stenosis was treated by cautery with Nd-YAG laser. After right sleeve upper lobectomy and wedge carinal resection was performed, the wedge-shaped defect of the trachea was closed, maintaining the diameter, and end to side telescopic anastomosis was carried out. The residual tumor was well controlled with postoperative irradiation(60Gy). Three years after the procedure there is no stenosis or granulation at the anastomose.
