CC-BY 4.0 · Surg J 2018; 04(01): e14-e17
DOI: 10.1055/s-0038-1635124
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Secondary Lingular Sleeve Resection to Avoid Pneumonectomy Following Bronchial Anastomotic Dehiscence after Left Lower Lobe Sleeve Resection for Destroyed Lung Syndrome

Servet Bölükbas
1  Department of Thoracic Surgery, Kliniken Essen-Mitte, Evang, Huyssens-Stifftung/Knappschafts-Krankenhaus, Essen, Germany
Robert Zanner
2  Department of Anaesthesiology, Klinikum rechts der Isar, Technische Universität München, Munich, Germany
Michael Eberlein
3  Division of Pulmonary, Critical Care and Occupational Medicine, University of Iowa Hospitals and Clinics, Iowa City
Christian Biancosino
4  Department of Thoracic Surgery, Helios University Hospital Wuppertal, Wuppertal, Germany
Bassam Redwan
5  Division of Thoracic Surgery, and Lung Transplantation, University Hospital Münster, Münster, Germany
› Author Affiliations
Further Information

Publication History

14 September 2017

03 January 2018

Publication Date:
27 February 2018 (online)


Bronchial sleeve resections are technically demanding procedures compared with lobectomies. In case of bronchial anastomotic dehiscence, secondary pneumonectomy is the treatment of choice. However, a secondary pneumonectomy is usually associated with high morbidity and mortality. Here, we first report, to the best of our knowledge, a secondary lingular sleeve resection following bronchial anastomotic dehiscence after left lower lobe sleeve resection in a patient with a destroyed lobe syndrome due to a pseudotumor. This approach enabled the avoidance of secondary pneumonectomy, hence reducing the possible pneumonectomy-associated complications.