Top

Published in:

01-06-2012 | How To Do It

Middle lobe preservation and fixation: right upper and lower sleeve bilobectomy. How to do it

Authors: Satoru Moriyama, Motoki Yano, Hidefumi Sasaki, Yu Hikosaka, Keisuke Yokota, Yoshitaka Fujii

Published in: Surgery Today | Issue 6/2012

Abstract

We herein report the case of a 65-year-old female with primary lung cancer who underwent a right upper and lower sleeve bilobectomy. The radiological findings revealed that the tumor was located in the superior segment of the right lower lobe and had invaded the posterior segment of the upper lobe and the truncus intermedius. We performed a right upper and lower sleeve bilobectomy. A latissimus dorsi flap was utilized to separate the thoracic cavity into upper and lower portions, and the preserved middle lobe was fixed in the upper portion to prevent torsion. Postoperative radiography showed good expansion of the middle lobe.

Carlens E, Hanson HE, Nordenstrom B. Temporary unilateral occlusion of the pulmonary artery; a new method of determining separate lung function and radiologic examinations. J Thorac Surg. 1951;22:527–36.PubMed

Hollaus PH, Janakiev D, Pridun NS. Telescope anastomosis in bronchial sleeve resections with high-caliber mismatch. Ann Thorac Surg. 2001;72:357–61.PubMedCrossRef

Iwata H, Kiryu T, Shirahashi K, Matsumoto S, Matsui M, Takemura H. Right lower lobectomy after upper lobectomy for multiple metastases in lung cancer of the right lower lobe: benefit of middle lobe preservation. J Thorac Cardiovasc Surg. 2007;134:1078–80.PubMedCrossRef

Deslauriers J, Gregoire J, Jacques LF, Piraux M, Guojin L, Lacasse Y. Sleeve lobectomy versus pneumonectomy for lung cancer: a comparative analysis of survival and sites or recurrences. Ann Thorac Surg. 2004;77:1152–6.PubMedCrossRef

Khargi K, Duurkens VAM, Verzijibergen FF, Huysmans HA, Knaepen PJ. Pulmonary function after sleeve lobectomy. Ann Thorac Surg. 1994;57:1302–4.PubMedCrossRef

Melloul E, Egger B, Krueger T, Cheng C, Mithieux F, Ruffieux C, Magnusson L, Ris HB. Mortality, complications and loss of pulmonary function after pneumonectomy vs. sleeve lobectomy in patients younger and older than 70 years. Interact Cardiovasc Thorac Surg. 2008;7:986–9.PubMedCrossRef

Wong P, Goldstraw P. Pulmonary torsion: a questionnaire survey and a survey of the literature. Ann Thorac Surg. 1992;54:286–8.PubMedCrossRef

Apostolakis E, Koletsis EN, Panagopoulos N, Prokakis C, Dougenis D. Fatal stroke after completion pneumonectomy for torsion of left upper following left lower lobectomy. J Cardiothorac Surg. 2006;1:25.PubMedCrossRef

Higashiyama M, Takami K, Higaki N, Kodama K. Pulmonary middle lobe fixation using TachoComb in patients undergoing right upper lobectomy with complete oblique fissure. Interact Cardiovasc Thorac Surg. 2004;3:107–9.PubMedCrossRef

Title: Middle lobe preservation and fixation: right upper and lower sleeve bilobectomy. How to do it
Authors: Satoru Moriyama
Motoki Yano
Hidefumi Sasaki
Yu Hikosaka
Keisuke Yokota
Yoshitaka Fujii
Publication date: 01-06-2012
Publisher: Springer Japan
Published in: Surgery Today / Issue 6/2012
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI: https://doi.org/10.1007/s00595-012-0143-7

At a glance: The STEP trials

Springer Medicine

Middle lobe preservation and fixation: right upper and lower sleeve bilobectomy. How to do it

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 6/2012

Localized pleural amyloidosis: report of a case

A one-stage operation for abdominal aortic aneurysm and intraductal papillary mucinous neoplasms of the pancreas: report of a case

Results of a surgical resection of pulmonary metastasis from hepatocellular carcinoma: prognostic impact of the preoperative serum alpha-fetoprotein level

Left sleeve pneumonectomy via a clamshell incision for lung cancer with carinal invasion: report of a case

Utility of preoperative small-bowel endoscopy for hemorrhagic lesions in the small intestine

Differentiating rectal carcinoma by an immunohistological analysis of carcinomas of pelvic organs based on the NCBI Literature Survey and the Human Protein Atlas database