“…The remaining part of anastomosis is performed using interrupted sutures, and all knots are tied outside. Maurizi et al (14) consider the management of the bronchial axis and the avoidance of bronchus twisting to be the greatest challenges in Y-sleeve lobectomy. We consider that both have to be anticipated at the time of the section of the bronchus, by cutting the main bronchus transversally, and using oblique bronchiotomy for the upper lobe bronchus, respecting the trifurcation of the right upper lobe bronchus and the lingual bifurcation on the left side.…”