Articles Related to Lobectomy
Modified Montage-Type Bronchoplasty with Complete Pulmonary Preservation
Among surgical cases of bronchoplasty with complete pulmonary preservation, those that require anastomosis of three stomas are rare. Usually, a double-barrel type reconstruction is performed by suturing two distal bronchi together and then anastomosing them to the proximal bronchus. However, the procedure is technically difficult because of the difference between the stomal diameter of the proximal bronchus and that of the two distal bronchi, and the tension at the anastomosis site is imbalanced. Herein, we present a rare surgical case of a bronchoplasty with complete pulmonary preservation in whom we performed an anastomosis between three stomas using a modified Montage-type technique. The advantage of this technique is that it allows free trimming of the anastomosed side-to-side stoma before anastomosis with the third bronchus, thus decreasing the tension at the anastomosis site and improving the outcome. We believe, this technique is superior to the other known techniques.
Late Benign Gastrobronchial Fistula after Esophagectomy for Esophageal Cancer: A Case Report
Benign gastrobronchial fistula (GBF) is extremely rare but highly fatal complication of esophagectomy for upper gastrointestinal system cancers. We present a benign GBF after three years esophagectomy for esophageal cancer with presenting recurrent pneumonia. We choose wedge bronchoplasty without lobectomy and primary repair of gastric conduit as an approach.
Macrocystis of the Lung in a Preterm Neonate: Case Report
Thoracic ultrasonography has been used to evaluate pulmonary parenchyma and the macrocystis of the lung in a preterm with congenital cystic adenomatoid malformation type I. The images gained have been important for diagnosis and therapeutic strategies in our case. An infant was prematurely born with congenital cystic adenomatoid malformation type I. The chest X-ray and computerized tomography showed a great opaque area in the entire right lung, we considered performing a pneumonectomy. This opaque area hampered the expansion of left lung. After draining the macrocystis by ultrasonography-guided puncture, it was possible considering and performing the lobectomy due to the reduction of the volume of macrocystis. During follow up at 4 months, the infant did not show complications and the chest X-ray revealed the reduction of volume of the dense area in parenchyma of right lung.
Camera Embedded Single Lumen Tube as a Rescue Device for Airway Handling during Lung Separation
Lung isolation in thoracic surgery will usually be achieved either with a double-lumen tube (DLT) or a bronchial blocker (BB). However, even when conducted by anesthesiologists with particular interest and expertise in thoracic anesthesia, the procedure may be troublesome and time consuming.
Penetrating Arrow Wound of the Chest - A Case Report
In ancient India arrow injury was prevalent as it was a one of the most frequently used weapon. With passage of time use of bow and arrow became restricted to tribal area and its use became limited mostly to hunting. But in the recent years with progressively increasing terrorist activity in some areas arrow injuries are becoming more and more frequent.