A new approach to left sleeve pneumonectomy: complete VATS left pneumonectomy followed by right thoracotomy for carinal resection and reconstruction
Abstract Background Left sleeve pneumonectomy is a challenging operation that requires individualized approaches. Here, we present a new minimally invasive combined thoracoscopic approach. Case presentation A 61-year-old woman was diagnosed with tracheobronchial adenoid cystic carcinoma. The tumor o...
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| Format: | Article |
| Language: | English |
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Japan Surgical Society
2018-08-01
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| Series: | Surgical Case Reports |
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| Online Access: | http://link.springer.com/article/10.1186/s40792-018-0496-2 |
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| author | Toshio Fujino Masayuki Tanahashi Haruhiro Yukiue Eriko Suzuki Naoko Yoshii Masayuki Shitara Yasunori Kaminuma Hiroshi Niwa |
| author_facet | Toshio Fujino Masayuki Tanahashi Haruhiro Yukiue Eriko Suzuki Naoko Yoshii Masayuki Shitara Yasunori Kaminuma Hiroshi Niwa |
| author_sort | Toshio Fujino |
| collection | DOAJ |
| description | Abstract Background Left sleeve pneumonectomy is a challenging operation that requires individualized approaches. Here, we present a new minimally invasive combined thoracoscopic approach. Case presentation A 61-year-old woman was diagnosed with tracheobronchial adenoid cystic carcinoma. The tumor originated from the left main stem bronchus, and tumor with carinal involvement was observed. We judged that complete resection would be possible via left sleeve pneumonectomy. However, because tumor involvement with the esophagus and descending aorta was suspected, evaluation of resectability in advance was necessary. After confirmation via examination thoracoscopy of no involvement with the surrounding organs, complete VATS left pneumonectomy was performed and followed by right thoracotomy for carinal resection and reconstruction. Conclusions When thoracoscopic surgery becomes mainstream, this minimally invasive combined thoracoscopic approach might be an optimal option for patients who require left sleeve pneumonectomy. |
| format | Article |
| id | doaj-art-377923a4f10e4ebbb7b36f4ad9fd541c |
| institution | Matheson Library |
| issn | 2198-7793 |
| language | English |
| publishDate | 2018-08-01 |
| publisher | Japan Surgical Society |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj-art-377923a4f10e4ebbb7b36f4ad9fd541c2025-07-02T06:17:53ZengJapan Surgical SocietySurgical Case Reports2198-77932018-08-01411510.1186/s40792-018-0496-2A new approach to left sleeve pneumonectomy: complete VATS left pneumonectomy followed by right thoracotomy for carinal resection and reconstructionToshio Fujino0Masayuki Tanahashi1Haruhiro Yukiue2Eriko Suzuki3Naoko Yoshii4Masayuki Shitara5Yasunori Kaminuma6Hiroshi Niwa7Division of Thoracic Surgery, Respiratory Disease Center, Seirei Mikatahara General HospitalDivision of Thoracic Surgery, Respiratory Disease Center, Seirei Mikatahara General HospitalDivision of Thoracic Surgery, Respiratory Disease Center, Seirei Mikatahara General HospitalDivision of Thoracic Surgery, Respiratory Disease Center, Seirei Mikatahara General HospitalDivision of Thoracic Surgery, Respiratory Disease Center, Seirei Mikatahara General HospitalDivision of Thoracic Surgery, Respiratory Disease Center, Seirei Mikatahara General HospitalDivision of Thoracic Surgery, Respiratory Disease Center, Seirei Mikatahara General HospitalDivision of Thoracic Surgery, Respiratory Disease Center, Seirei Mikatahara General HospitalAbstract Background Left sleeve pneumonectomy is a challenging operation that requires individualized approaches. Here, we present a new minimally invasive combined thoracoscopic approach. Case presentation A 61-year-old woman was diagnosed with tracheobronchial adenoid cystic carcinoma. The tumor originated from the left main stem bronchus, and tumor with carinal involvement was observed. We judged that complete resection would be possible via left sleeve pneumonectomy. However, because tumor involvement with the esophagus and descending aorta was suspected, evaluation of resectability in advance was necessary. After confirmation via examination thoracoscopy of no involvement with the surrounding organs, complete VATS left pneumonectomy was performed and followed by right thoracotomy for carinal resection and reconstruction. Conclusions When thoracoscopic surgery becomes mainstream, this minimally invasive combined thoracoscopic approach might be an optimal option for patients who require left sleeve pneumonectomy.http://link.springer.com/article/10.1186/s40792-018-0496-2Left sleeve pneumonectomyNew approachTracheobronchial tumor |
| spellingShingle | Toshio Fujino Masayuki Tanahashi Haruhiro Yukiue Eriko Suzuki Naoko Yoshii Masayuki Shitara Yasunori Kaminuma Hiroshi Niwa A new approach to left sleeve pneumonectomy: complete VATS left pneumonectomy followed by right thoracotomy for carinal resection and reconstruction Surgical Case Reports Left sleeve pneumonectomy New approach Tracheobronchial tumor |
| title | A new approach to left sleeve pneumonectomy: complete VATS left pneumonectomy followed by right thoracotomy for carinal resection and reconstruction |
| title_full | A new approach to left sleeve pneumonectomy: complete VATS left pneumonectomy followed by right thoracotomy for carinal resection and reconstruction |
| title_fullStr | A new approach to left sleeve pneumonectomy: complete VATS left pneumonectomy followed by right thoracotomy for carinal resection and reconstruction |
| title_full_unstemmed | A new approach to left sleeve pneumonectomy: complete VATS left pneumonectomy followed by right thoracotomy for carinal resection and reconstruction |
| title_short | A new approach to left sleeve pneumonectomy: complete VATS left pneumonectomy followed by right thoracotomy for carinal resection and reconstruction |
| title_sort | new approach to left sleeve pneumonectomy complete vats left pneumonectomy followed by right thoracotomy for carinal resection and reconstruction |
| topic | Left sleeve pneumonectomy New approach Tracheobronchial tumor |
| url | http://link.springer.com/article/10.1186/s40792-018-0496-2 |
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