scholarly journals Left main bronchial sleeve resection with total lung parenchymal preservation: a tailored surgical approach

2019 ◽  
Author(s):  
Sara Mantovani ◽  
Lucile Gust ◽  
Xavier Benoit D’Journo ◽  
Pascal Alexandre Thomas
Keyword(s):  
Surgical Technique ◽  
Surgical Approach ◽  
Main Bronchus ◽  
Lung Parenchyma ◽  
Left Main Bronchus ◽  
Sleeve Resection ◽  
Posterolateral Thoracotomy ◽  
Left Main ◽  
Bronchial Anastomosis ◽  
Clamshell Incision

Abstract Bronchial sleeve resection is an uncommon thoracic surgical procedure. Under specific conditions, patients can be selected to undergo a sleeve resection of the main bronchus with complete parenchymal preservation. The left main bronchus is longer than the contralateral bronchus, therefore left endobronchial tumours can be localized at the proximal end of the bronchus or distally, near the secondary carina. Bronchial anastomosis in these 2 situations requires different approaches. We present the surgical technique of left main bronchus resection with complete preservation of lung parenchyma through a hemi-clamshell incision (proximal tumour) or posterolateral thoracotomy (distal tumour).

scholarly journals Right-Sided Approach for Segmental Resection of the Left Main Bronchus—Technical Considerations

2020 ◽  
Vol 15 (3) ◽  
pp. 279-282
Author(s):  
Veronika Kroepfl ◽  
Caecilia Ng ◽  
Herbert Maier ◽  
Paolo Lucciarini ◽  
Stefan Scheidl ◽  
...  
Keyword(s):  
Surgical Approach ◽  
Main Bronchus ◽  
Left Main Bronchus ◽  
Segmental Resection ◽  
Left Main ◽  
Typical Carcinoid ◽  
Bronchial System ◽  
Left Main Stem Bronchus ◽  
The Right ◽  
Resection And Anastomosis

Carcinoids of the left main bronchus are rare tumors of the bronchial system and patients often present with dyspnea, asthma-like symptoms, and pneumonia. Gold standard for therapy of carcinoids is surgical resection, but the surgical approach for segmental resection and anastomosis of the left main bronchus is a matter of discussion. With a left-sided approach the access to the bronchus is blocked by the aortic arch and the pulmonary vein. If a right-sided approach is performed, the problem of ventilation during resection and anastomosis of the bronchus occurs. We present a surgical approach from the right side using intraoperative extracorporeal membrane oxygenation to assure oxygen supply for resection of a typical carcinoid of the left main stem bronchus, and discuss the current literature.

scholarly journals A Case of sleeve resection of left main bronchus for bronchial mucoepidermoid carcinoma.

2003 ◽  
Vol 17 (6) ◽  
pp. 677-682 ◽  
Author(s):  
Ikuo Kamiyama ◽  
Hirohisa Horinouchi ◽  
Yoshishige Kimura ◽  
Takahiko Oyama ◽  
Taichiro Goto ◽  
...  
Keyword(s):  
Mucoepidermoid Carcinoma ◽  
Main Bronchus ◽  
Left Main Bronchus ◽  
Sleeve Resection ◽  
Left Main

Catastrophic haemoptysis in the Fontan circulation – a novel surgical approach to denude the culprit bleeding vessels

2011 ◽  
Vol 21 (4) ◽  
pp. 462-464
Author(s):  
David E. Black ◽  
Gruschen R. Veldtman ◽  
Timothy Bryant ◽  
John Miller ◽  
Marcus Haw
Keyword(s):  
Aortic Valve ◽  
Left Ventricle ◽  
Surgical Approach ◽  
Main Bronchus ◽  
Left Main Bronchus ◽  
Cardiac Catheterisation ◽  
Left Main ◽  
Massive Haemoptysis ◽  
Lateral Thoracotomy ◽  
Double Inlet Left Ventricle

AbstractWe describe the case of a young man aged 19 years with a double inlet left ventricle associated with transposition of the great arteries, and a mechanical aortic valve requiring anticoagulation, who presented with massive haemoptysis. At cardiac catheterisation, there were multiple feeder vessels to a bleeding leash surrounding and communicating with his left main bronchus. Despite occlusion of the larger feeder vessels, he continued to have massive haemoptysis. We describe a novel surgical strategy of denuding the peribronchial vessels through a left lateral thoracotomy. This successfully stopped his bleeding.

scholarly journals Surgical Treatment of a Neuromucoepidermoid Carcinoma of the Left Main Bronchus via Posterolateral Thoracotomy in a 4-Year-Old Boy

2020 ◽  
Vol 09 (01) ◽  
pp. e1-e3
Author(s):  
Markus Liebrich ◽  
Godehard Friedel ◽  
Peter Amrhein ◽  
Ioannis Tzanavaros
Keyword(s):  
Surgical Treatment ◽  
Main Bronchus ◽  
Complete Resection ◽  
Left Main Bronchus ◽  
Posterolateral Thoracotomy ◽  
Left Main ◽  
End To End

AbstractWe report the case of a 4-year-old boy with a neuromucoepidermoid carcinoma of the left main bronchus. Complete resection of the carcinoma and reconstruction of the carina between lower and upper lobe by means of an end-to-end anastomosis was performed via a left-sided thoracotomy.

scholarly journals Two cases of sleeve resection of the left main bronchus for a salivary gland-type tumor

2016 ◽  
Vol 30 (4) ◽  
pp. 437-442
Author(s):  
Hiroshi Matsui ◽  
Hyung-Eun Yoon ◽  
Tomoki Utsumi ◽  
Emiko Tomita ◽  
Masanori Kitaichi ◽  
...  
Keyword(s):  
Salivary Gland ◽  
Main Bronchus ◽  
Left Main Bronchus ◽  
Sleeve Resection ◽  
Left Main ◽  
Gland Type

Proximal Left Main Bronchus Resection–Reconstruction through Left Thoracotomy with Tracheal Traction

2017 ◽  
Vol 66 (02) ◽  
pp. 174-176
Author(s):  
Naoko Imanishi ◽  
Masaru Takenaka ◽  
Ayako Hirai ◽  
Fumihiro Tanaka
Keyword(s):  
Surgical Approach ◽  
Main Bronchus ◽  
Median Sternotomy ◽  
Left Main Bronchus ◽  
Left Main ◽  
Left Thoracotomy ◽  
Right Thoracotomy

AbstractSurgical approach for resection–reconstruction of the proximal left main bronchus has been a matter of discussion. Through standard left thoracotomy, the proximal main bronchus close to the carina is not easily exposed. Accordingly, median sternotomy or right thoracotomy may be commonly employed, but the exposure and management of the distal left main bronchus may be difficult through the approach. Here, we present a left thoracotomy approach with traction of the trachea, which may easily allow excellent exposure of the proximal end of the left main bronchus and the carina.

scholarly journals The Endobronchial Inflammatory Myofibroblastic Tumor

2021 ◽  
Vol 2021 ◽  
Author(s):  
Imane LEFQIH ◽  
Labiba SBIKI ◽  
Hachem TALEB ELMINE ◽  
Safa SABUR ◽  
Rachid TAOUFIQ ◽  
...  
Keyword(s):  
Inflammatory Myofibroblastic Tumor ◽  
Benign Tumor ◽  
Main Bronchus ◽  
Left Main Bronchus ◽  
Posterolateral Thoracotomy ◽  
Left Main ◽  
Lobe Bronchus ◽  
Complete Excision ◽  
Operative Specimen ◽  
Fast Evolution

The inflammatory myofibroblastic tumor is a rare tumor described in the literature as a type of inflammatory pseudotumor. It mainly has a pulmonary location but can appear at endobronchial or mediastinal sites on rarely. While it is a benign tumor, it can sometimes be unpredictable due to its invasive characteristic as well as its resurgence after complete excision. We report the case of a patient presenting hemoptysis. The bronchoscopy revealed a bud in the left upper lobe bronchus, and the biopsy pointed to a myofibroblastic tumor. In one month, interval, the bud extended to the left main bronchus, hence the indication of a left pneumonectomy, performed by posterolateral thoracotomy. The study of the operative specimen confirmed the biopsy diagnosis. The particularity of our case is the endobronchial presentation and the fast evolution of this inflammatory myofibroblastic tumor, which requires a pneumonectomy.

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