CC BY 4.0 · Surg J (N Y) 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
› Institutsangaben
Weitere Informationen

Publikationsverlauf

14. September 2017

03. Januar 2018

Publikationsdatum:
27. Februar 2018 (online)

Abstract

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.

 
  • References

  • 1 Schirren J, Eberlein M, Fischer A, Bölükbas S. The role of sleeve resections in advanced nodal disease. Eur J Cardiothorac Surg 2011; 40 (05) 1157-1163
  • 2 Yildizeli B, Fadel E, Mussot S, Fabre D, Chataigner O, Dartevelle PG. Morbidity, mortality, and long-term survival after sleeve lobectomy for non-small cell lung cancer. Eur J Cardiothorac Surg 2007; 31 (01) 95-102
  • 3 Bölükbas S, Ghezel-Ahmadi D, Kudelin N, Biancosino C, Eberlein M, Schirren J. Sleeve resections for the treatment of non-small cell lung cancer. Minerva Chir 2011; 66 (04) 329-339
  • 4 Ludwig C, Stoelben E. A new classification of bronchial anastomosis after sleeve lobectomy. J Thorac Cardiovasc Surg 2012; 144 (04) 808-812
  • 5 Petrella F, Veronesi G, Leo F. , et al. Extended redo sleeve resection for postoperative dehiscence after right upper bronchoplasty. Minerva Chir 2006; 61 (04) 353-355
  • 6 Ma Z, Dong A, Fan J, Cheng H. Does sleeve lobectomy concomitant with or without pulmonary artery reconstruction (double sleeve) have favorable results for non-small cell lung cancer compared with pneumonectomy? A meta-analysis. Eur J Cardiothorac Surg 2007; 32 (01) 20-28
  • 7 Berthet JP, Paradela M, Jimenez MJ, Molins L, Gómez-Caro A. Extended sleeve lobectomy: one more step toward avoiding pneumonectomy in centrally located lung cancer. Ann Thorac Surg 2013; 96 (06) 1988-1997
  • 8 Van Schil PE, Brutel de la Rivière A, Knaepen PJ, van Swieten HA, Defauw JJ, van den Bosch JM. Completion pneumonectomy after bronchial sleeve resection: incidence, indications, and results. Ann Thorac Surg 1992; 53 (06) 1042-1045