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

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

doi:10.1016/j.athoracsur.2017.07.036

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 journal › Article › peer-review

3 Citations (Scopus)

Abstract

A 66-year-old woman was referred to our hospital. Computed tomography revealed a partly solid ground-glass nodule located in the left S¹⁺² and spread over the left S⁶. Pathologic diagnosis was primary adenocarcinoma (c-T2a N0 M0 c-stage IB). The left B¹⁺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 language	English
Pages (from-to)	e447-e449
Journal	Annals of Thoracic Surgery
Volume	104
Issue number	6
DOIs	https://doi.org/10.1016/j.athoracsur.2017.07.036
Publication status	Published - 2017 Dec
Externally published	Yes

ASJC Scopus subject areas

Surgery
Pulmonary and Respiratory Medicine
Cardiology and Cardiovascular Medicine

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10.1016/j.athoracsur.2017.07.036

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title = "En Bloc Upper and Lower Lobe Trisegmentectomy Facilitated by Displaced Segmental Airway",

abstract = "A 66-year-old woman was referred to our hospital. Computed tomography revealed a partly solid ground-glass nodule located in the left S1+2 and spread over the left S6. Pathologic diagnosis was primary adenocarcinoma (c-T2a N0 M0 c-stage IB). The left B1+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.",

author = "Akifumi Nakamura and Watanabe, {Shun ichi} and Yukio Watanabe and Keisuke Asakura and Kazuo Nakagawa",

note = "Publisher Copyright: {\textcopyright} 2017 The Society of Thoracic Surgeons",

year = "2017",

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doi = "10.1016/j.athoracsur.2017.07.036",

language = "English",

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T1 - En Bloc Upper and Lower Lobe Trisegmentectomy Facilitated by Displaced Segmental Airway

AU - Nakamura, Akifumi

AU - Watanabe, Shun ichi

AU - Watanabe, Yukio

AU - Asakura, Keisuke

AU - Nakagawa, Kazuo

PY - 2017/12

Y1 - 2017/12

N2 - A 66-year-old woman was referred to our hospital. Computed tomography revealed a partly solid ground-glass nodule located in the left S1+2 and spread over the left S6. Pathologic diagnosis was primary adenocarcinoma (c-T2a N0 M0 c-stage IB). The left B1+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.

AB - A 66-year-old woman was referred to our hospital. Computed tomography revealed a partly solid ground-glass nodule located in the left S1+2 and spread over the left S6. Pathologic diagnosis was primary adenocarcinoma (c-T2a N0 M0 c-stage IB). The left B1+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.

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

Abstract

ASJC Scopus subject areas

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