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

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  • معلومة اضافية
    • المصدر:
      Publisher: BioMed Central Country of Publication: England NLM ID: 101265113 Publication Model: Electronic Cited Medium: Internet ISSN: 1749-8090 (Electronic) Linking ISSN: 17498090 NLM ISO Abbreviation: J Cardiothorac Surg Subsets: MEDLINE
    • بيانات النشر:
      Original Publication: [London] : BioMed Central, 2006-
    • الموضوع:
      Imaging, Three-Dimensional*; Adenocarcinoma/*surgery ; Bronchi/*anatomy & histology ; Bronchi/*diagnostic imaging ; Lung Neoplasms/*surgery ; Pneumonectomy/*methods ; Tomography, X-Ray Computed/*methods; Adenocarcinoma/diagnostic imaging ; Aged ; Anatomic Variation ; Coloring Agents ; Humans ; Indocyanine Green ; Lung Neoplasms/diagnostic imaging ; Male ; Neoplasm Recurrence, Local/surgery ; Pulmonary Artery/diagnostic imaging ; Thoracic Surgery, Video-Assisted/methods
    • نبذة مختصرة :
      Background: Pulmonary 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 Presentation: A 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.
      Conclusion: Preoperative three-dimensional imaging and systemic indocyanine green injection enabled us to successfully conduct challenging segmentectomy in a patient with an anomalous bronchus.
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      Ann Thorac Surg. 2019 Nov;108(5):1543-1550. (PMID: 31302085)
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    • Contributed Indexing:
      Keywords: Bronchial anomaly; Lung cancer; Segmentectomy; Thoracic surgery
    • الرقم المعرف:
      0 (Coloring Agents)
      IX6J1063HV (Indocyanine Green)
    • الموضوع:
      Date Created: 20200930 Date Completed: 20210210 Latest Revision: 20210210
    • الموضوع:
      20240829
    • الرقم المعرف:
      PMC7526139
    • الرقم المعرف:
      10.1186/s13019-020-01328-3
    • الرقم المعرف:
      32993707