[Left superior segmental resection for lung cancer with anomalous branching of the left A4 + 5; report of 2 cases].
We experienced with two cases of left superior segmental resection for lung cancer with the left A4 + 5 which arose from pars mediastinalis. Left superior segmental resection was performed on a 67-year-old female and an 81-year-old male. In both cases we divided A4 + 5 temporarily and anastomosed to pars interlobaris of the left pulmonary artery. As a result, it was able to perform safe division of bronchus. In cases with A4 + 5 arising from pars mediastinalis, operation is difficult and risky because A4 + 5 locates in front of the left upper lobe bronchus. It is safer to reconstruct A4 + 5 on pars interlobaris of the left pulmonary artery in such cases.
Takizawa
M
M
Department of Thoracic Surgery, Kouseiren Takaoka Hospital, Takaoka, Japan.
Saito
H
H
Ishikawa
T
T
D000230:Adenocarcinoma / Q000601:surgery*; D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery*; D008297:Male; D011013:Pneumonectomy / Q000379:methods*; D011651:Pulmonary Artery / Q000002:abnormalities* / Q000601:surgery