Reinforcement of a bronchial stump in VATS lobectomy.
Bronchial stump reinforcement is sometimes required for patients who have a high risk of developing a bronchial fistula. A lobectomy by video-assisted thoracic surgery (VATS) is widely used for the treatment of both stage I primary lung cancer and metastatic central lung cancer, but there has been no report on reinforcement of a bronchial stump in a VATS lobectomy. We report an aged patient with stage I primary lung cancer concomitant to diabetes mellitus who was successfully treated by VATS lobectomy with reinforcement of the bronchial stump using a pericardial fat pedicle flap. A Harmonic scalpel was very useful and effective in harvesting the fat pedicle.
Watanabe
A
A
2nd Department of Surgery, Sapporo University School of Medicine, Japan. QZV07547@nifty.ne.jp
Abe
T
T
Yamauchi
A
A
Ichimiya
Y
Y
D000368:Aged; D001980:Bronchi / Q000601:surgery*; D018196:Carcinoma, Adenosquamous / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D048909:Diabetes Complications; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D008197:Lymph Node Excision / Q000379:methods; D010496:Pericardium / Q000637:transplantation*; D011013:Pneumonectomy / Q000379:methods* / Q000706:statistics & numerical data; D012307:Risk Factors; D013524:Surgical Flaps; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods* / Q000706:statistics & numerical data; D020858:Tissue and Organ Harvesting / Q000379:methods