Left apicoposterior segmentectomy for lung cancer with displaced segmental bronchus: a case report

Journal of Cardiothoracic Surgery

Jun Matsumoto¹  Noriko Hiyama¹  Masahiro Yanagiya²  Hirokazu Yamaguchi³ 

[1] Department of General Thoracic Surgery, NTT Medical Center Tokyo, 5-9-22 Higashi-Gotanda, Shinagawa-ku, 141-8625, Tokyo, Japan;Department of General Thoracic Surgery, NTT Medical Center Tokyo, 5-9-22 Higashi-Gotanda, Shinagawa-ku, 141-8625, Tokyo, Japan;Department of Thoracic Surgery, The University of Tokyo Graduate School of Medicine, Tokyo, Japan;Department of Thoracic Surgery, The University of Tokyo Graduate School of Medicine, Tokyo, Japan;

关键词: Thoracic surgery;    Lung cancer;    Segmentectomy;    Bronchial anomaly;   

DOI  :  10.1186/s13019-020-01328-3

来源: Springer

【 摘 要 】

BackgroundPulmonary segmentectomy can be challenging when thoracic surgeons encounter anatomical anomalies. A displaced left apicoposterior bronchus is a rare bronchial anomaly that makes lung anatomical resection challenging. We herein present a case of successful left apicoposterior segmentectomy for lung cancer in a patient with an anomalous segmental bronchus.Case presentationA 70-year-old man was clinically diagnosed with early-stage lung cancer for which segmentectomy was indicated. A preoperative image revealed a displaced left apicoposterior bronchus that branched behind the left main pulmonary artery. With the aid of three-dimensional reconstruction imaging and systemic indocyanine green injection, we successfully performed left apicoposterior segmentectomy under complete video-assisted thoracic surgery. The pathological diagnosis was adenocarcinoma. The patient was alive without recurrence 8 months after segmentectomy.ConclusionPreoperative three-dimensional imaging and systemic indocyanine green injection enabled us to successfully conduct challenging segmentectomy in a patient with an anomalous bronchus.

【 授权许可】

CC BY