Resection and Reconstruction for Lung and Airway Tumors Invading the Carina

Carinal resection is a challenging thoracic surgical procedure indicated for the treatment of lung and primary airway tumors involving tracheobronchial bifurcation. This highly specialized operation combines tumor resection with airway reconstruction to restore anatomical continuity and preserve respiratory function. Advances in surgical techniques, perioperative management, and complementary therapies have significantly improved patient outcomes, making carinal resection a potentially curative option for carefully selected patients with otherwise inoperable disease. The procedure remains a pivotal strategy in thoracic oncology, requiring a multidisciplinary approach and the expertise of thoracic surgeons, anesthesiologists, and oncologists at high-volume centers.