Wedge tracheobronchoplasty technique for primary pulmonary carcinoma of the right upper bronchus.
We describe a novel tracheobronchoplasty procedure for advanced squamous cell carcinoma of the right upper lung. A 78-year-old male was referred for further investigation of an abnormal shadow on a chest x-ray. A conventional right upper sleeve lobectomy was not applicable because of the invasion of lateral wall of the lower trachea. So, we performed a modified tracheobronchoplasty. This report shows that our cutting design for the trachea and bronchus was reasonable and appropriate for a caliber mismatch, with adaptation and suturing of each edge of the wedge-shaped defect of the trachea.
Department of General Thoracic Surgery, Maebashi Red Cross Hospital, Maebashi, Gunma, Japan. micha2005jp@yahoo.co.jp
Mitsuhiro
M
Kamiyoshihara
Toshiteru
T
Nagashima
Atsushi
A
Takise
Kimihiro
K
Shimizu
D000368:Aged; D001980:Bronchi / Q000473:pathology / Q000601:surgery; D002283:Carcinoma, Bronchogenic / Q000473:pathology / Q000601:surgery; D002294:Carcinoma, Squamous Cell / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology / Q000601:surgery*; D008297:Male; D009361:Neoplasm Invasiveness; D013536:Suture Techniques; D019616:Thoracic Surgical Procedures / Q000379:methods*; D014132:Trachea / Q000473:pathology / Q000601:surgery