Simple Carinal Cartilage Suture for High-Caliber Mismatch in Right Upper Lobe Sleeve Lobectomy

Masataka Mori; Masaru Takenaka; Yoshinobu Ichiki; Fumihiro Tanaka

doi:10.1016/j.athoracsur.2019.01.042

Simple Carinal Cartilage Suture for High-Caliber Mismatch in Right Upper Lobe Sleeve Lobectomy

Ann Thorac Surg. 2019 Jul;108(1):e61-e63. doi: 10.1016/j.athoracsur.2019.01.042. Epub 2019 Feb 27.

Authors

Masataka Mori¹, Masaru Takenaka², Yoshinobu Ichiki², Fumihiro Tanaka²

Affiliations

¹ Second Department of Surgery, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan. Electronic address: [email protected].
² Second Department of Surgery, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan.

PMID: 30825449
DOI: 10.1016/j.athoracsur.2019.01.042

Abstract

We thoracic surgeons sometimes face a problem of high-caliber mismatch in sleeve lobectomy. The large size disparity between the proximal and distal stump requires not only an appropriate anastomotic technique but also an appropriate approach to the stumps. We report a case of a simple carinal cartilage suture helping correct high-caliber mismatch in right upper lobe sleeve lobectomy. Sutures on the anterior wall of the carinal cartilage effectively reduced the size disparity of the stumps. This approach could be a complementary option for high-caliber mismatch in right upper lobe sleeve lobectomy.

Publication types

Case Reports

MeSH terms

Aged, 80 and over
Bronchi / surgery*
Humans
Lung Neoplasms / surgery*
Male
Pneumonectomy / methods*
Suture Techniques*