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J Thorac Cardiovasc Surg 2005;129:454-455
© 2005 The American Association for Thoracic Surgery

Brief Communications

Left tracheal sleeve pneumonectomy: A combined approach

David G. Tse, MDa,*, Nippon Vadehra, MDb, Luiza Iancu, MDc

a Division of Thoracic Surgery, Kaiser Permanente Medical Center, West Los Angeles, Calif
b Division of Anesthesiology, Kaiser Permanente Medical Center, West Los Angeles, Calif
c Division of Pulmonary Medicine, Kaiser Permanente Medical Center, West Los Angeles, Calif

Received for publication April 20, 2004; accepted for publication May 21, 2004.

* Address for reprints: David G. Tse, MD, Department of Thoracic Surgery, Kaiser Permanente Medical Center, 6041 Cadillac Ave, West Los Angeles, CA 90034 (E-mail: david.g.tse@kp.org).

The first 20% of the full text of this article appears below.

Left tracheal sleeve pneumonectomy is an uncommon operation in lung cancer surgery. Although resection is complex, cure can be achieved for localized disease. Single-stage surgical approaches include left posterolateral thoracotomy, bilateral anterolateral thoracotomy, and median sternotomy with or without left anterolateral thoracotomy. We report a successful approach incorporating right posterolateral thoracotomy, endobronchial stenting, and video-assisted thoracoscopic surgery (VATS).


   Clinical summary
 
A healthy 38-year-old man had decreased breath sounds of the left hemithorax during preoperative physical examination for vasectomy reversal. The patient had had three episodes of left lung pneumonia in the previous 4 years. Chest radiographic images revealed a hyperlucent left hemithorax. A computed tomographic scan showed a tumor with extraluminal penetration of the left main stem bronchus extending within 7 mm of the bifurcation of the upper and lower lobe orifices (Figures 1 and 2). No hilar or mediastinal adenopathy was seen. Preresection rigid bronchoscopy with biopsy samples taken . . . [Full Text of this Article]




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[Abstract] [Full Text] [PDF]


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