title: Revival of impaired lung perfusion after sleeve lobectomy.
abstract: Sleeve resection, a mainstay for centrally-located lung cancer, is a challenging procedure when the preserved lung is impaired. We herein reported a 61-year-old male who underwent right upper sleeve lobectomy for squamous cell carcinoma located at the orifice of the upper bronchus. The tumor invaded the main bronchus. A lung perfusion scan showed severe impairment, while the right middle and lower lobes were well expanded. Not only the spirogram, but also the lung perfusion in the residual lung, had markedly recovered at 2 months after the right upper extended sleeve lobectomy. The patient is currently living his normal daily life. Residual lung perfusion can be revived, even if it is impaired preoperatively.
authors.affiliation: Department of General Thoracic Surgery, Jichi Medical University, Yakushiji, Shimotsuke, Tochigi 3290498, Japan.
authors.forename: Tomoki
authors.initials: T
authors.lastname: Shibano
authors.affiliation: Department of General Thoracic Surgery, Jichi Medical University, Yakushiji, Shimotsuke, Tochigi 3290498, Japan.
authors.forename: Hiroyoshi
authors.initials: H
authors.lastname: Tsubochi
authors.affiliation: Department of General Thoracic Surgery, Jichi Medical University, Yakushiji, Shimotsuke, Tochigi 3290498, Japan.
authors.forename: Shunsuke
authors.initials: S
authors.lastname: Endo
authors.affiliation: Department of General Thoracic Surgery, Jichi Medical University, Yakushiji, Shimotsuke, Tochigi 3290498, Japan.
authors.forename: Shinichi
authors.initials: S
authors.lastname: Yamamoto
authors.affiliation: Department of General Thoracic Surgery, Jichi Medical University, Yakushiji, Shimotsuke, Tochigi 3290498, Japan.
authors.forename: Mitsuru
authors.initials: M
authors.lastname: Maki
keywords: Centrally-located lung cancer; lung perfusion; sleeve resection