Telescoping bronchial anastomosis for extended sleeve lobectomy

Miyoshi, Shinichiro; Tamura, Motohiko; Araki, Osamu; Yoshii, Naoko; Karube, Yoko; Seki, Norio; Umezu, Hideo; Kobayashi, Satoru; Ishihama, Hiromi; Nagai, Sensuke; Sawabata, Noriyoshi

doi:10.1016/j.jtcvs.2006.05.055

Cited by 11 publications

(10 citation statements)

References 3 publications

(2 reference statements)

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“…We prefer to perform telescopic bronchial anastomoses, which can compensate for massive caliber mismatches. 5 In addition, this procedure can prevent tension and kinking of the anastomosis because the distal stump, which is often thin and frail, is splinted by the proximal, strong bronchus. In the present cases, no adjusting stitches in the membranous part of the main bronchial stump were required.…”

Section: Discussionmentioning

confidence: 99%

Extended sleeve lobectomy for interlobar lymph node metastasis invading the bronchus from peripheral lung cancer

Tsubochi

Kanai

Tezuka

et al. 2011

Gen Thorac Cardiovasc Surg

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Although extended sleeve lobectomy has been used as an alternative to pneumonectomy for the treatment of centrally located lung cancer, the validity of this surgical procedure is unclear in patients with peripheral lung cancer with interlobar lymph node metastasis invading the bronchus. We herein report four patients with peripheral lung cancer in the left lower lobe who underwent extended sleeve lobectomy consequent to interlobar lymph node metastasis. The tumor and metastasized lymph node was extirpated en bloc with division of the main bronchus and upper division bronchus, and those bronchi were anastomosed using the telescope method. All patients were doing well without recurrence. Extended sleeve lobectomy may be applicable to patients with peripheral lung cancer with interlobar lymph node metastasis invading the bronchus to avoid pneumonectomy.

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Section: Discussionmentioning

confidence: 99%

Extended sleeve lobectomy for interlobar lymph node metastasis invading the bronchus from peripheral lung cancer

Tsubochi

Kanai

Tezuka

et al. 2011

Gen Thorac Cardiovasc Surg

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“…In sleeve resection series [6,7,8,[18][19][20], various bronchial anastomosis techniques have been reported to amend caliber and shape discrepancies, and changes in bronchial direction between the proximal and distal stumps. In cases of notable diameter mismatch, Hollaus and colleagues [18] applied a telescoping anastomosis technique (n ¼ 15), bringing the distal bronchus up into the lumen of the proximal stump.…”

Section: Commentmentioning

confidence: 99%

“…One-third of patients required iterative interventional bronchoscopy, and 6% displayed anastomotic dehiscence. To limit the risk of partial dehiscence of a telescoping anastomosis when inserting the basal or middle bronchus into the right main bronchus, Kamiyoshihara and associates [19] used a "bronchofolding" technique, whereas Miyoshi and coworkers [20] modified the telescoping technique by adding transverse stitches to the membranous part of the main bronchus. The thinness and frailty of the distal stump are never as evident as when trying to adapt a segmental bronchial cap with a small cylindrical cross section to the horseshoe-shaped main bronchus, and this is even more obvious with the right main bronchus.…”

Section: Commentmentioning

confidence: 99%

Extended Sleeve Lobectomy: One More Step Toward Avoiding Pneumonectomy in Centrally Located Lung Cancer

Berthet

Paradela

Jiménez

et al. 2013

The Annals of Thoracic Surgery

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“…Previously, Okada and colleagues classified fifteen patients who underwent extended sleeve lobectomy into three groups according to the surgical procedure of reconstruction [14]. And Miyoshi and colleagues also reported three types of anastomotic techniques [15]. One is to use two adjusting stitches in the membranous part of the larger stump.…”

Section: Discussionmentioning

confidence: 99%

Wine cup stoma anastomosis after extended sleeve lobectomy for central-type squamous cell lung cancer

Higuchi

Watanabe

Endo

et al. 2019

J Cardiothorac Surg

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BackgroundExtended sleeve lobectomy is rarely applied to pulmonary surgery for primary lung cancer to avoid a pneumonectomy. As there is a size discrepancy between main bronchus and peripheral bronchus, ingenuity to improve anastomosis is required in the bronchoplasty. We report herein a case in which successful reconstruction of extended sleeve lobectomy with bronchial wall flap.Case presentationWe report on a 64-year-old man suffering from hemoptysis, cough, mild fever and dyspnea. His computed tomography (CT) scan showed solid tumor of 40 mm in diameter in left lower bronchus, which obstructed the lower bronchus and caused obstructive pneumonia of left lower lobe and expanded to second carina and pulmonary artery. His bronchoscopy showed that tumor was exposed in the bronchial lumen and infiltrated to left main bronchus and upper bronchus even though the scope could pass through the exposed tumor of upper bronchus. Transbronchial lung biopsy showed squamous cell carcinoma. He had undergone left sleeve lingular segmentectomy and left lower lobectomy. Reconstruction was performed with bronchial wall flap. Pathological findings revealed pT3N0M0 stage IIB according to UICC 8th edition. Postoperative bronchoscopic findings showed no troubles at the anastomotic site. He has been well for eighteen months without recurrence after surgery.ConclusionsWe experienced a successful case who was reconstructed with bronchial wall flap (wine cup stoma) after extended sleeve lobectomy. This technique might be also useful for other types of extended sleeve lobectomy and lung transplantation to adjust caliber changes of bronchi.

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Telescoping bronchial anastomosis for extended sleeve lobectomy

Cited by 11 publications

References 3 publications

Extended sleeve lobectomy for interlobar lymph node metastasis invading the bronchus from peripheral lung cancer

Extended sleeve lobectomy for interlobar lymph node metastasis invading the bronchus from peripheral lung cancer

Extended Sleeve Lobectomy: One More Step Toward Avoiding Pneumonectomy in Centrally Located Lung Cancer

Wine cup stoma anastomosis after extended sleeve lobectomy for central-type squamous cell lung cancer

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