title: Video-assisted thoracic surgery lobectomy for lung cancer with displaced b(1+2.).
abstract: A 52-year-old man was diagnosed with lung adenocarcinoma in the left upper lobe (c-T1bN0M0). Preoperative bronchoscopy revealed a displaced anomalous B(1+2) arising from the left main bronchus. Multiplanar reconstruction computed tomography showed that the displaced B(1+2) was located behind the left main pulmonary artery, and the interlobar fissure was largely fused. Video-assisted thoracic surgery (VATS) left upper lobectomy was performed successfully. The "no-touch fissure" technique was efficient not only for avoiding accidental cutting of the displaced bronchus but also post-operative air leakage. This is the first reported case of VATS lobectomy for lung cancer associated with a displaced B(1+2).
authors.affiliation: Department of Thoracic Surgery, National Hospital Organization Himeji Medical Center, Hyogo, Japan.
authors.forename: Keisuke
authors.initials: K
authors.lastname: Asakura
authors.forename: Naoko
authors.initials: N
authors.lastname: Imanishi
authors.forename: Takahisa
authors.initials: T
authors.lastname: Matsuoka
authors.forename: Shinjiro
authors.initials: S
authors.lastname: Nagai
authors.forename: Katsunari
authors.initials: K
authors.lastname: Matsuoka
authors.forename: Mitsuhiro
authors.initials: M
authors.lastname: Ueda
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Miyamoto
mesh_terms: D000230:Adenocarcinoma / Q000150:complications / Q000601:surgery*; D001980:Bronchi / Q000002:abnormalities*; D006801:Humans; D008175:Lung Neoplasms / Q000150:complications / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy / Q000379:methods*; D020775:Thoracic Surgery, Video-Assisted