Pulmonary artery reconstruction with a prosthetic conduit in lung cancer.
In radical pulmonary resection for advanced lung cancer, reconstruction of the pulmonary artery (PA) can preserve the lung parenchyma. Reconstruction techniques have gained acceptance because they enable the surgeon to avoid pneumonectomy. Various techniques have been documented, such as direct suturing, end-to-end anastomosis, and a patch or conduit reconstruction. We present two lobectomy cases in which the patients underwent PA reconstruction with prosthetic conduits because they were unfit for other procedures. In both cases, the conduits showed good postoperative patency. When interposition of a conduit is required for PA reconstruction, the use of a prosthetic conduit should be considered in selected cases.
Department of Thoracic Surgery, Shinshu University Hospital, Matsumoto, Nagano, Japan.
Kazuo
K
Yoshida
Masayuki
M
Toishi
Hiroyuki
H
Agatsuma
Hirotaka
H
Kumeda
Takashi
T
Eguchi
Yukihiro
Y
Terada
Takayuki
T
Shiina
D000230:Adenocarcinoma / Q000473:pathology / Q000601:surgery*; D000077192:Adenocarcinoma of Lung; D000368:Aged; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation*; D001999:Bronchoscopy; D002294:Carcinoma, Squamous Cell / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology / Q000601:surgery*; D008297:Male; D009361:Neoplasm Invasiveness; D011013:Pneumonectomy / Q000009:adverse effects*; D011474:Prosthesis Design; D011651:Pulmonary Artery / Q000293:injuries / Q000473:pathology / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000295:instrumentation*; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D057772:Vascular System Injuries / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*