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Case Report

Video-Assisted Thoracoscopic Bronchial Sleeve Lobectomy

by
Marcin Ostrowski
*,
Tomasz Marjański
and
Witold Rzyman
Department of Thoracic Surgery, Medical University of Gdańsk, Dębinki 7, 80-952 Gdańsk, Poland
*
Author to whom correspondence should be addressed.
Adv. Respir. Med. 2017, 85(5), 250-252; https://doi.org/10.5603/ARM.a2017.0041
Submission received: 1 July 2017 / Revised: 8 September 2017 / Accepted: 8 September 2017 / Published: 30 October 2017

Abstract

Bronchial sleeve lobectomy offers a chance to avoid excessive resections such as pneumonectomy in central lung tumors. Recent technical advances enable complex procedures such as video-assisted thoracoscopic bronchial sleeve lobectomy (VABSL). We present a case of a 64-year-old patient who underwent the right upper VABSL due to adenocarcinoma. During resection the bronchus was transsected and a specimen removed due to tumor proximity. Intraoperative frozen section revealed no neoplastic infiltration in the bronchial cut line. Due to a stiff round shape of the bronchial defect, impossible to approximate by direct suturing without kinking, sleeve lobectomy was undertaken. Bronchial section was performed through utility incision partly under direct vision. End-to-end anastomosis was led with open surgery needle holder, forceps and with continuous Maxon 4–0. Postoperative stay was uncomplicated and bronchoscopy revealed wide lumen of anastomosis.
Keywords: lung cancer; minimally invasive surgery; video-assisted thoracoscopic surgery; bronchial sleeve resection lung cancer; minimally invasive surgery; video-assisted thoracoscopic surgery; bronchial sleeve resection

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MDPI and ACS Style

Ostrowski, M.; Marjański, T.; Rzyman, W. Video-Assisted Thoracoscopic Bronchial Sleeve Lobectomy. Adv. Respir. Med. 2017, 85, 250-252. https://doi.org/10.5603/ARM.a2017.0041

AMA Style

Ostrowski M, Marjański T, Rzyman W. Video-Assisted Thoracoscopic Bronchial Sleeve Lobectomy. Advances in Respiratory Medicine. 2017; 85(5):250-252. https://doi.org/10.5603/ARM.a2017.0041

Chicago/Turabian Style

Ostrowski, Marcin, Tomasz Marjański, and Witold Rzyman. 2017. "Video-Assisted Thoracoscopic Bronchial Sleeve Lobectomy" Advances in Respiratory Medicine 85, no. 5: 250-252. https://doi.org/10.5603/ARM.a2017.0041

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