title: Basal segmental auto-transplantation after pneumonectomy for advanced central lung cancer.
abstract: In patients with central lung cancer that extensively involves the bronchus/pulmonary artery, a double-sleeve lobectomy is often difficult to perform. We describe a case of post-pneumonectomy basal segmental auto-transplantation using a lung preservation technique that uses cold low-potassium dextran glucose solution to protect the lung graft from ischaemia-reperfusion injury during the ex situ division of the segmental graft and the pathological investigations for the clearance of the surgical margins. A right basal segmental auto-transplantation procedure was performed in a patient with stage-IIIA squamous cell lung cancer. This technique could allow extensive pulmonary resection while minimizing the loss of pulmonary reserve.
authors.affiliation: Department of Thoracic Surgery, Okayama University Hospital, Okayama, Japan. oto@md.okayama-u.ac.jp
authors.forename: Takahiro
authors.initials: T
authors.lastname: Oto
authors.forename: Katsuyuki
authors.initials: K
authors.lastname: Kiura
authors.forename: Shinichi
authors.initials: S
authors.lastname: Toyooka
authors.forename: Shinichiro
authors.initials: S
authors.lastname: Miyoshi
mesh_terms: D000714:Anastomosis, Surgical; D001707:Biopsy, Needle; D002294:Carcinoma, Squamous Cell / Q000188:drug therapy / Q000473:pathology / Q000601:surgery*; D017024:Chemotherapy, Adjuvant; D005500:Follow-Up Studies; D006085:Graft Survival; D006801:Humans; D007150:Immunohistochemistry; D008175:Lung Neoplasms / Q000188:drug therapy / Q000473:pathology / Q000601:surgery*; D016040:Lung Transplantation / Q000379:methods*; D011013:Pneumonectomy / Q000379:methods*; D011182:Postoperative Care / Q000379:methods; D018570:Risk Assessment; D056346:Sternotomy / Q000379:methods; D013908:Thoracotomy / Q000379:methods; D013997:Time Factors; D014182:Transplantation, Autologous / Q000379:methods; D016896:Treatment Outcome