Left apicoposterior segmentectomy for lung cancer with displaced segmental bronchus: A case report
Background
Pulmonary segmentectomy can be challenging when thoracic surgeons encounter anatomical anomalies. A displaced left apicoposterior bronchus is a rare bronchial anomaly that makes lung anatomical resection challenging. We herein present a case of successful left apicoposterior segmentectomy for lung cancer in a patient with an anomalous segmental bronchus.
Case presentation
A 70-year-old man was clinically diagnosed with early-stage lung cancer for which segmentectomy was indicated. A preoperative image revealed a displaced left apicoposterior bronchus that branched behind the left main pulmonary artery. With the aid of three-dimensional reconstruction imaging and systemic indocyanine green injection, we successfully performed left apicoposterior segmentectomy under complete video-assisted thoracic surgery. The pathological diagnosis was adenocarcinoma. The patient was alive without recurrence 8 months after segmentectomy.
Conclusion
Preoperative three-dimensional imaging and systemic indocyanine green injection enabled us to successfully conduct challenging segmentectomy in a patient with an anomalous bronchus.
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Posted 11 Sep, 2020
On 29 Sep, 2020
On 20 Sep, 2020
On 08 Sep, 2020
On 07 Sep, 2020
On 07 Sep, 2020
On 24 Aug, 2020
Received 27 Jun, 2020
On 24 Jun, 2020
Received 23 Jun, 2020
Invitations sent on 21 Jun, 2020
On 21 Jun, 2020
On 01 Jun, 2020
On 31 May, 2020
On 31 May, 2020
On 29 May, 2020
Left apicoposterior segmentectomy for lung cancer with displaced segmental bronchus: A case report
Posted 11 Sep, 2020
On 29 Sep, 2020
On 20 Sep, 2020
On 08 Sep, 2020
On 07 Sep, 2020
On 07 Sep, 2020
On 24 Aug, 2020
Received 27 Jun, 2020
On 24 Jun, 2020
Received 23 Jun, 2020
Invitations sent on 21 Jun, 2020
On 21 Jun, 2020
On 01 Jun, 2020
On 31 May, 2020
On 31 May, 2020
On 29 May, 2020
Background
Pulmonary segmentectomy can be challenging when thoracic surgeons encounter anatomical anomalies. A displaced left apicoposterior bronchus is a rare bronchial anomaly that makes lung anatomical resection challenging. We herein present a case of successful left apicoposterior segmentectomy for lung cancer in a patient with an anomalous segmental bronchus.
Case presentation
A 70-year-old man was clinically diagnosed with early-stage lung cancer for which segmentectomy was indicated. A preoperative image revealed a displaced left apicoposterior bronchus that branched behind the left main pulmonary artery. With the aid of three-dimensional reconstruction imaging and systemic indocyanine green injection, we successfully performed left apicoposterior segmentectomy under complete video-assisted thoracic surgery. The pathological diagnosis was adenocarcinoma. The patient was alive without recurrence 8 months after segmentectomy.
Conclusion
Preoperative three-dimensional imaging and systemic indocyanine green injection enabled us to successfully conduct challenging segmentectomy in a patient with an anomalous bronchus.
Figure 1
Figure 2
Figure 3