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Right Lower Sleeve Bilobectomy for Lung Cancer with Posteparterial Tracheal Bronchus

  • Kim, Hongsun (Department of Thoracic and Cardiovascular Surgery, Samsung Biomedical Research Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Kim, Jinsik (Department of Thoracic and Cardiovascular Surgery, Jeju National University Hospital, Jeju National University School of Medicine) ;
  • Cho, Jong Ho (Department of Thoracic and Cardiovascular Surgery, Samsung Biomedical Research Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Shin, Su Min (Department of Thoracic and Cardiovascular Surgery, Samsung Biomedical Research Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Kim, Hong Kwan (Department of Thoracic and Cardiovascular Surgery, Samsung Biomedical Research Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Kim, Jhingook (Department of Thoracic and Cardiovascular Surgery, Samsung Biomedical Research Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • Received : 2016.09.13
  • Accepted : 2016.10.17
  • Published : 2017.08.05

Abstract

A 42-year-old man was diagnosed with cancer of the right lower lung lobe with a posteparterial type of tracheal bronchus, in which the posterior segmental bronchus of the right upper lobe arose from the distal bronchus intermedius. A mass involved the distal bronchus intermedius, requiring a right lower bilobectomy with an additional posterior segmental resection of the right upper lung lobe. Thus, we performed a right lower bilobectomy and sleeve anastomosis of the posterior segmental bronchus of the right upper lobe to the proximal bronchus intermedius, sparing the pulmonary parenchyma of the same lobe.

Keywords

References

  1. Kubik S, Muntener M. Bronchus abnormalities: tracheal, eparterial, and pre-eparterial bronchi. Fortschr Geb Rontgenstr Nuklearmed 1971;114:145-63. https://doi.org/10.1055/s-0029-1229019
  2. Remy J, Smith M, Marache P, Nuyts JP. Pathogenetic left tracheal bronchus: a review of the literature in connection with four cases (author's transl). J Radiol Electrol Med Nucl 1977;58:621-30.
  3. Ritsema GH. Ectopic right bronchus: indication for bronchography. Am J Roentgenol 1983;140:671-4. https://doi.org/10.2214/ajr.140.4.671
  4. Boyden EA. Segmental anatomy of the lungs: a study of the patterns of the segmental bronchi and related pulmonary vessels. New York (NY): Blakiston Division, McGraw-Hill; 1955.
  5. Ghaye B, Szapiro D, Fanchamps JM, Dondelinger RF. Congenital bronchial abnormalities revisited. Radiographics 2001;21:105-19. https://doi.org/10.1148/radiographics.21.1.g01ja06105
  6. Kim J, Park C, Kim H, Lee KS. Surgical resection of lung cancer originating in a tracheal bronchus. Ann Thorac Surg 1998;66:944-6. https://doi.org/10.1016/S0003-4975(98)00563-3
  7. Okubo K, Ueno Y, Isobe J. Upper sleeve lobectomy for lung cancer with tracheal bronchus. J Thorac Cardiovasc Surg 2000;120:1011-2. https://doi.org/10.1067/mtc.2000.108529
  8. Carilli AD, The SH, Agress H Jr, Shin D, Budin JA. Tracheal bronchus with regional ventilation and perfusion abnormalities. Chest 1980;78:343-6. https://doi.org/10.1378/chest.78.2.343