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Case report
Right sleeve pneumonectomy for local recurrent lung cancer following right sleeve upper lobectomy with bronchoplasty: A case report
Jun Hanaoka
Shiga University of Medical Science
Corresponding Author
ORCiD: https://orcid.org/0000-0002-5272-556X
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: Salvage surgery has been frequently performed, increasing the opportunity to actively perform surgery for recurrence after a function-preserving operation. However, re-operation after airway reconstruction surgery on the proximal side and the effect of prior treatment, such as radiotherapy and/or chemotherapy, make the operation more difficult. In addition, cases of sleeve pneumonectomy after sleeve lobectomy with bronchoplasty are uncommon.
Case presentation: A 71-year-old lung cancer patient underwent right upper sleeve lobectomy with bronchoplasty combined with perioperative chemotherapy in 2007. A new undiagnosed right hilar mass that appeared 9 years post-operation showed a temporary response to radiotherapy but progressed thereafter. Sleeve pneumonectomy was completed 14 months after radiotherapy by the following procedures: dividing the right pulmonary artery at the proximal site under median sternotomy and then reconstructing the bronchus by telescoping the left main bronchus into the distal trachea after pneumonectomy under posterolateral thoracotomy.
Conclusions: Sleeve pneumonectomy for recurrent lung cancer could be safely performed under good vision using a two-stage approach as salvage surgery, even in high-risk patients who received various treatments and proximal airway reconstruction.
Keywords
Sleeve pneumonectomy, Salvage surgery, Post sleeve lobectomy, Two-stage approach, Recurrent lung cancer
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CURRENT STATUS: Under Review
Version 2
Posted 03 Jun, 2020
No community comments so far
Editor assigned
On 25 May, 2020
Submission checks complete
On 24 May, 2020
Editor invited
On 24 May, 2020
No comments provided
Editorial decision: Major revision
On 03 May, 2020
Review #5 received
Received 15 Apr, 2020
Review #4 received
Received 25 Mar, 2020
Reviewer #3 agreed
On 25 Mar, 2020
Reviewer #4 agreed
On 25 Mar, 2020
Reviewer #5 agreed
On 25 Mar, 2020
Review #3 received
Received 25 Mar, 2020
Review #1 received
Received 23 Mar, 2020
Review #2 received
Received 23 Mar, 2020
Reviewers invited
Invitations sent on 22 Mar, 2020
Reviewer #1 agreed
On 22 Mar, 2020
Reviewer #2 agreed
On 22 Mar, 2020
Editor assigned
On 20 Feb, 2020
First submitted
On 19 Feb, 2020
Submission checks complete
On 19 Feb, 2020
Editor invited
On 19 Feb, 2020
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Subject Areas
Cardiothoracic Surgery
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This preprint is under consideration at Journal of Cardiothoracic Surgery. A preprint is a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Case report
Right sleeve pneumonectomy for local recurrent lung cancer following right sleeve upper lobectomy with bronchoplasty: A case report
Jun Hanaoka
Shiga University of Medical Science
Corresponding Author
ORCiD: https://orcid.org/0000-0002-5272-556X
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Under Review
Version 2
Posted 03 Jun, 2020
No community comments so far
Editor assigned
On 25 May, 2020
Submission checks complete
On 24 May, 2020
Editor invited
On 24 May, 2020
No comments provided
Editorial decision: Major revision
On 03 May, 2020
Review #5 received
Received 15 Apr, 2020
Review #4 received
Received 25 Mar, 2020
Reviewer #3 agreed
On 25 Mar, 2020
Reviewer #4 agreed
On 25 Mar, 2020
Reviewer #5 agreed
On 25 Mar, 2020
Review #3 received
Received 25 Mar, 2020
Review #1 received
Received 23 Mar, 2020
Review #2 received
Received 23 Mar, 2020
Reviewers invited
Invitations sent on 22 Mar, 2020
Reviewer #1 agreed
On 22 Mar, 2020
Reviewer #2 agreed
On 22 Mar, 2020
Editor assigned
On 20 Feb, 2020
First submitted
On 19 Feb, 2020
Submission checks complete
On 19 Feb, 2020
Editor invited
On 19 Feb, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Cardiothoracic Surgery
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: Salvage surgery has been frequently performed, increasing the opportunity to actively perform surgery for recurrence after a function-preserving operation. However, re-operation after airway reconstruction surgery on the proximal side and the effect of prior treatment, such as radiotherapy and/or chemotherapy, make the operation more difficult. In addition, cases of sleeve pneumonectomy after sleeve lobectomy with bronchoplasty are uncommon.
Case presentation: A 71-year-old lung cancer patient underwent right upper sleeve lobectomy with bronchoplasty combined with perioperative chemotherapy in 2007. A new undiagnosed right hilar mass that appeared 9 years post-operation showed a temporary response to radiotherapy but progressed thereafter. Sleeve pneumonectomy was completed 14 months after radiotherapy by the following procedures: dividing the right pulmonary artery at the proximal site under median sternotomy and then reconstructing the bronchus by telescoping the left main bronchus into the distal trachea after pneumonectomy under posterolateral thoracotomy.
Conclusions: Sleeve pneumonectomy for recurrent lung cancer could be safely performed under good vision using a two-stage approach as salvage surgery, even in high-risk patients who received various treatments and proximal airway reconstruction.
Figure 1
Figure 2