Completion sleeve pneumonectomy for suture line recurrence of lung cancer after sleeve lobectomy

The most appropriate treatment for suture line recurrence of lung cancer after bronchial sleeve lobectomy is completion pneumonectomy. While completion pneumonectomy may not be justified from an oncological point of view due to the positive bronchial resection margin, completion tracheal sleeve pneumonectomy is an optimal surgical procedure. We carried out two cases of completion tracheal sleeve pneumonectomy for suture line recurrence of lung cancer after bronchial sleeve lobectomy of the right upper lobe and achieved good results, which suggests that completion tracheal sleeve pneumonectomy for suture line recurrence after bronchial sleeve lobectomy is a good treatment modality for selected patients.