Surgical Technique

Extended right upper sleeve lobectomy with double-barrel segmental bronchoplasty

Atsushi Hata, Hironobu Wada, Yuichi Sakairi, Hajime Tamura, Taiki Fujiwara, Hidemi Suzuki, Takahiro Nakajima, Masako Chiyo, Ichiro Yoshino


Extended sleeve lobectomy (ESL), which is defined as the atypical sleeve resection of more than one lobe, has been widely accepted to preserve the pulmonary function (1-3). Double-barrel anastomosis has been reported as a method of bronchial reconstruction after carinal resection; however, it is rarely applied in the reconstruction of segmental bronchi. We herein report a case in which ESL with double-barrel anastomosis of the middle lobar bronchus (MLB) and basilar bronchus (BB) was successfully applied in the treatment of a patient with centrally located lung adenocarcinoma.

Download Citation