[Sleeve lobectomy for tuberculous bronchial stenosis: a case report].
We describe a patient with tuberculous bronchial stenosis who was subjected to bronchoplasty. The patient was a 33-year-old man who had stenosis of the left main bronchus. Because the lesion was associated with bronchomalacia, previous balloon dilatation therapy had failed. At thoracotomy, the left upper lobe was found not to be saved for the tuberculous lesion. Although there were many inflamed nodules in the left lower lobe due to repeated episodes of pneumonia, we decided to save it using bronchoplasty expecting its respiratory functional recovery. He ran uneventful course postoperatively and his lung function improved. We conclude that bronchoplasty may prove effective for patients with tuberculous bronchial stenosis associated with bronchomalacia; and thus, to avoid pneumonectomy, bronchoplasty should be attempted even if the reconstructed lung is mildly inflamed.
Toyama
K
K
Department of General Thoracic Surgery, Hyogo Medical Center, Akashi, Japan.
Tsubota
N
N
Yoshimura
M
M
Miyamoto
Y
Y
Nakamura
H
H
Minami
H
H
D000328:Adult; D001980:Bronchi / Q000601:surgery; D001982:Bronchial Diseases / Q000601:surgery*; D006801:Humans; D008297:Male; D011013:Pneumonectomy / Q000379:methods*; D014397:Tuberculosis, Pulmonary / Q000601:surgery*