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Specific techniques for right sleeve lower lobectomy: four case reports.
Hirokazu Hamasaki1, Chika Shirakami1, Tatsuya Yamada1
1Department of Thoracic Surgery, Kumamoto University Hospital, 1-1-1 Honjo, Chuo-ku, Kumamoto, 860-8556, Japan.
Surgical Case Reports
|February 3, 2021
Summary
Right sleeve lower lobectomy, a complex procedure, can achieve good outcomes in select patients. Specific techniques allow for middle lobe preservation, making this surgical option viable.
Area of Science:
- Thoracic Surgery
- Surgical Oncology
- Pulmonary Medicine
Background:
- Right sleeve lower lobectomy is infrequently performed due to challenges in preserving pulmonary function and technical difficulties with bronchial anastomosis.
- The middle lobe's pulmonary function is not as readily spared as other lobes during lobectomy.
Purpose of the Study:
- To evaluate the feasibility and outcomes of right sleeve lower lobectomy using specific surgical techniques.
- To demonstrate that right sleeve lower lobectomy can be a viable option for middle lobe preservation.
Main Methods:
- Four cases of right sleeve lower lobectomy were performed.
- Key techniques included telescope anastomosing, pericardiotomy, interlobar dissection, and selective pulmonary artery angioplasty.
Main Results:
- All four cases demonstrated good clinical outcomes.
- The described techniques facilitated successful right sleeve lower lobectomy.
Conclusions:
- Right sleeve lower lobectomy is a feasible surgical option for select patients requiring middle lobe preservation.
- Specific technical modifications enhance the success rate of this challenging procedure.
