open access

Vol 85, No 5 (2017)
CASE REPORTS
Published online: 2017-10-30
Submitted: 2017-07-01
Accepted: 2017-09-08
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Video-assisted thoracoscopic bronchial sleeve lobectomy ― a case report

Marcin Ostrowski, Tomasz Marjański, Witold Rzyman
DOI: 10.5603/ARM.a2017.0041
·
Adv Respir Med 2017;85(5):250-252.

open access

Vol 85, No 5 (2017)
CASE REPORTS
Published online: 2017-10-30
Submitted: 2017-07-01
Accepted: 2017-09-08

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.

 

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.

 

Get Citation

Keywords

lung cancer, minimally invasive surgery, video-assisted thoracoscopic surgery, bronchial sleeve resection

About this article
Title

Video-assisted thoracoscopic bronchial sleeve lobectomy ― a case report

Journal

Advances in Respiratory Medicine

Issue

Vol 85, No 5 (2017)

Pages

250-252

Published online

2017-10-30

DOI

10.5603/ARM.a2017.0041

Bibliographic record

Adv Respir Med 2017;85(5):250-252.

Keywords

lung cancer
minimally invasive surgery
video-assisted thoracoscopic surgery
bronchial sleeve resection

Authors

Marcin Ostrowski
Tomasz Marjański
Witold Rzyman

References (13)
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