Korean J Thorac Cardiovasc Surg.
2001 May;34(5):418-421.
Tracheobronchoplasty in the Patient with Right Upper Lobe Squamous Cell Carcinoma Invading Lower Trachea: One case report
- Affiliations
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- 1Department of Cardiovascular and Thoracic Surgery, Asan Medical Center, Ulsan University, Korea.
- 2Department of Anesthesiology, Asan Medical Center, Ulsan University, Korea.
Abstract
- A 53-year-old male patient was admitted for blood tinged sputum, and diagnosed with right upper lobe(RUL) squamous cell carcinoma. Invasion of the lower trachea was suspected on computed tomography(CT). A tracheobronchoplastic procedure involving the RUL and lower trachea was performed to preserve the right middle(RML) and right lower(RLL) lobes. Postoperatively, right lung inflation was satisfactory. A bronchoscopy performed 6 days postoperatively showed normal bronchial patterns of the right middle and lower lobes with neither distorsion nor stenosis. The patient received adj uvant chemo- and radiation therapy, postoperatively. He is currently well at 19 months after surgery. We report our experience with tracheobronchoplasty of an invasive RUL squamous cell carcinoma involving the lower trachea to avoid a right tracheal sleeve pneumonectomy and to maximally preserve lung function.
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