title: Left bronchial isomerism in a lung cancer patient undergoing right upper pulmonary lobectomy via a thoracoscope.
abstract: Left bronchial isomerism is a rare condition characterized by a bronchial structure on the right side that is a mirror image of the left side. In this report, we record our experience with a 62-year-old female lung cancer patient in whom left bronchial isomerism was discovered during surgery using a thoracoscope. A right upper pulmonary lobectomy was successfully completed, the key to which was successful separation of the right upper and middle lobes. As there is a risk of excising the wrong bronchi in such cases, thoracic surgeons need to identify bronchus variations. The optimal method to do this is to use a bronchoscope and computed tomography images of the bronchial tree reconstruction prior to surgery.
authors.affiliation: Department of Thoracic Surgery, 2nd Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
authors.forename: Lijian
authors.initials: L
authors.lastname: Huang
authors.affiliation: Department of Thoracic Surgery, 2nd Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
authors.forename: Lufeng
authors.initials: L
authors.lastname: Zhao
authors.affiliation: Department of Thoracic Surgery, 2nd Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
authors.forename: Hu
authors.initials: H
authors.lastname: Tang
authors.affiliation: Department of Thoracic Surgery, 2nd Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
authors.forename: Ying
authors.initials: Y
authors.lastname: Chai
mesh_terms: D001982:Bronchial Diseases / Q000175:diagnosis* / Q000601:surgery; D001999:Bronchoscopy / Q000295:instrumentation; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery*; D008875:Middle Aged; D011013:Pneumonectomy / Q000295:instrumentation*; D003074:Solitary Pulmonary Nodule / Q000601:surgery*; D016896:Treatment Outcome
keywords: 
  Bronchial isomerism; lobectomy; lung cancer; thoracoscope