Bronchoplastic lobectomy with wide wedge resection for lung cancer with long-term steroid medication.
A 57-year-old man with erythrodermia, who was given 5-10 mg/day of prednisolone for 2.5 years, was admitted to our hospital for squamous cell lung carcinoma of the right upper lobe. A bronchoscopy revealed a tumor nearly obstructing the right upper lobe bronchus. A bronchoplastic lobectomy was performed with wide wedge resection of the main bronchus and truncus intermedius. A postoperative bronchoscopy revealed good healing of the anastomosis and a 3-dimensional construction of the bronchus with chest computed tomography demonstrated no stenotic change and no kinking change in the anastomosis. One year and 6 months after surgery, no local recurrence was seen in the region of bronchoplasty. Bronchoplastic lobectomy with wide wedge resection is a useful procedure in cases with risk factors of anastomotic dehiscence, such as after induction therapy or during long-term administration of adrenal cortical steroids.
Taniguchi
Yuji
Y
Tottori University Hospital, Yonago, Japan.
Horio
Hirotoshi
H
Suzuki
Yoshimasa
Y
Nakamura
Hiroshige
H
D000714:Anastomosis, Surgical; D001980:Bronchi / Q000473:pathology; D001999:Bronchoscopy; D015897:Comorbidity; D003251:Constriction, Pathologic; D003873:Dermatitis, Exfoliative / Q000188:drug therapy* / Q000453:epidemiology; D005938:Glucocorticoids / Q000009:adverse effects; D006801:Humans; D008175:Lung Neoplasms / Q000453:epidemiology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy / Q000379:methods*; D011239:Prednisolone / Q000009:adverse effects; D013529:Surgical Wound Dehiscence / Q000139:chemically induced / Q000517:prevention & control
D005938:Glucocorticoids; D011239:Prednisolone