title: Extended sleeve lobectomy for interlobar lymph node metastasis invading the bronchus from peripheral lung cancer.
abstract: Although extended sleeve lobectomy has been used as an alternative to pneumonectomy for the treatment of centrally located lung cancer, the validity of this surgical procedure is unclear in patients with peripheral lung cancer with interlobar lymph node metastasis invading the bronchus. We herein report four patients with peripheral lung cancer in the left lower lobe who underwent extended sleeve lobectomy consequent to interlobar lymph node metastasis. The tumor and metastasized lymph node was extirpated en bloc with division of the main bronchus and upper division bronchus, and those bronchi were anastomosed using the telescope method. All patients were doing well without recurrence. Extended sleeve lobectomy may be applicable to patients with peripheral lung cancer with interlobar lymph node metastasis invading the bronchus to avoid pneumonectomy.
authors.affiliation: Department of General Thoracic Surgery, Saitama Medical Center, Jichi Medical School, 1-847 Amanuma-cho, Saitama 330-8503, Japan. tsubochi@saitama-med.ac.jp
authors.forename: Hiroyoshi
authors.initials: H
authors.lastname: Tsubochi
authors.forename: Yoshihiko
authors.initials: Y
authors.lastname: Kanai
authors.forename: Kenji
authors.initials: K
authors.lastname: Tezuka
authors.forename: Yasutaka
authors.initials: Y
authors.lastname: Watanabe
authors.forename: Shinichiro
authors.initials: S
authors.lastname: Koyama
authors.forename: Tomoyuki
authors.initials: T
authors.lastname: Nakano
authors.forename: Katsuhiko
authors.initials: K
authors.lastname: Isogami
authors.forename: Shunsuke
authors.initials: S
authors.lastname: Endo
mesh_terms: D000368:Aged; D001980:Bronchi / Q000473:pathology / Q000601:surgery*; D002289:Carcinoma, Non-Small-Cell Lung / Q000556:secondary / Q000601:surgery*; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology / Q000601:surgery*; D008197:Lymph Node Excision; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D013510:Pulmonary Surgical Procedures; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome