Bronchial flap closure of the right lower lobe bronchus.
We describe a novel method for closure of the bronchus intermedius, after right lower lobectomy, using a flap derived from the lower lobe apical segmental bronchus. We have successfully used this technique in an endobronchial carcinoid tumor occurring in a young man. It allowed middle lobe preservation despite a very proximal tumor position within the basal trunk bronchus. Adequate tumor margins were confirmed by on-table frozen section examination. This technique may have particular use in carcinoids or benign tumors.
Department of Cardiothoracic Surgery, Royal Infirmary of Edinburgh, Edinburgh, United Kingdom.
Richard J
RJ
McGregor
Douglas
D
West
William S
WS
Walker
D001980:Bronchi / Q000601:surgery*; D001984:Bronchial Neoplasms / Q000601:surgery*; D002276:Carcinoid Tumor / Q000601:surgery*; D006801:Humans; D008297:Male; D011013:Pneumonectomy; D013524:Surgical Flaps; D055815:Young Adult