En Bloc Upper and Lower Lobe Trisegmentectomy Facilitated by Displaced Segmental Airway

Akifumi Nakamura, Shun ichi Watanabe, Yukio Watanabe, Keisuke Asakura, Kazuo Nakagawa

Research output: Contribution to journalArticle

1 Citation (Scopus)


A 66-year-old woman was referred to our hospital. Computed tomography revealed a partly solid ground-glass nodule located in the left S 1+2 and spread over the left S 6 . Pathologic diagnosis was primary adenocarcinoma (c-T2a N0 M0 c-stage IB). The left B 1+2 arose from the left main bronchus and was displaced superiorly behind the left main pulmonary artery. Severely incomplete lobulation was also recognized. We performed trisegmentectomy, and negative margins were confirmed. The patient is now asymptomatic without recurrence. It is very important to grasp the anatomical structure and consider the surgical procedure preoperatively by making full use of computed tomography and bronchoscopy.

Original languageEnglish
Pages (from-to)e447-e449
JournalAnnals of Thoracic Surgery
Issue number6
Publication statusPublished - 2017 Dec 1
Externally publishedYes


ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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