Video-assisted thoracic surgery lobectomy for lung cancer with displaced b(1+2.)

Ann Thorac Cardiovasc Surg. 2014:20 Suppl:486-9. doi: 10.5761/atcs.cr.13-00063. Epub 2013 Nov 8.

Abstract

A 52-year-old man was diagnosed with lung adenocarcinoma in the left upper lobe (c-T1bN0M0). Preoperative bronchoscopy revealed a displaced anomalous B(1+2) arising from the left main bronchus. Multiplanar reconstruction computed tomography showed that the displaced B(1+2) was located behind the left main pulmonary artery, and the interlobar fissure was largely fused. Video-assisted thoracic surgery (VATS) left upper lobectomy was performed successfully. The "no-touch fissure" technique was efficient not only for avoiding accidental cutting of the displaced bronchus but also post-operative air leakage. This is the first reported case of VATS lobectomy for lung cancer associated with a displaced B(1+2).

Publication types

  • Case Reports

MeSH terms

  • Adenocarcinoma / complications
  • Adenocarcinoma / surgery*
  • Bronchi / abnormalities*
  • Humans
  • Lung Neoplasms / complications
  • Lung Neoplasms / surgery*
  • Male
  • Middle Aged
  • Pneumonectomy / methods*
  • Thoracic Surgery, Video-Assisted*