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

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. 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. Preoperative three-dimensional imaging and systemic indocyanine green injection enabled us to successfully conduct challenging segmentectomy in a patient with an anomalous bronchus.

Citation

Masahiro Yanagiya, Hirokazu Yamaguchi, Noriko Hiyama, Jun Matsumoto. Left apicoposterior segmentectomy for lung cancer with displaced segmental bronchus: a case report. Journal of cardiothoracic surgery. 2020 Sep 29;15(1):274

Mesh Tags

Substances

PMID: 32993707

search → result