The left main bronchus transected incorrectly during video-assisted thoracoscopic lobectomy: a case report

Surgical Case Reports
Yuma ShindoAtsushi Watanabe

Abstract

Several severe intraoperative complications of lung cancer surgery have been reported, but the incorrect transection of the main bronchus is a very rare and serious complication. We report a surgical case of a patient with left lower lobe lung cancer invading the inferior segment of the lingula, with fused interlobar fissure and dense pleural adhesion, in which the left main bronchus was mistaken for the left lower lobe bronchus and was transected. A 64-year-old woman with lung adenocarcinoma was referred to our hospital for surgical treatment. Chest computed tomography (CT) scan showed a 30-mm nodule with a clear border and irregular margins in the center of the anterior (S8) segment of the lower lobe of the left lung and another similar 30-mm nodule in the lateral (S9) segment of the same lobe. Metastasis within the same lobe was suspected. A thoracoscopic left lower lobectomy was scheduled for the patient. As the patient had a moderately, fused fissure, dense pleural adhesion, and suspicious tumor invasion from the left S8 segment to the left S5 segment, and the interlobar node tightly adhered to the main PA at the site of basilar artery origin of the LLL, we performed left lower lobectomy and a left S5 segmentectomy using t...Continue Reading

References

Jul 14, 2010·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Khalid AmerHunaid A Vohra
Oct 22, 2011·The Journal of Thoracic and Cardiovascular Surgery·Raja M FloresBernard Park
Sep 20, 2015·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Herbert DecaluweUNKNOWN ESTS Minimally Invasive Thoracic Surgery Interest Group (MITIG)

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Methods Mentioned

BETA
biopsy
dissection
bronchoplasty

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