Complete video-assisted thoracoscopic surgery upper left bronchial sleeve lobectomy

• DOI: 10.3978/asvide.2014.141
• Publication Date: 2015-01-06
• Authors: Guobing Xu; Wei Zheng; Zhaohui Guo; Yong Zhu; Chun Chen
• Keywords: Left pulmonary artery; Right Main Bronchus

This video demonstrates a case undergoing complete video-assisted thoracoscopic surgery (VATS) upper left bronchial sleeve lobectomy. The 18-year-old female patient was admitted for recurrent cough and intermittent hemoptysis one month. Chest CT scan showed neoplasm in the main bronchus lobe bronchus. Bronchoscopic biopsy indicated mucinous epithelial cancer. Based on chest findings, lower lung not affected. To preserve normal tissue minimize loss of function, we decided to perform this surgical procedure. A threeport technique conducted, which hypoplastic oblique fissure, pulmonary vein, branch artery were initially treated under VATS. Bronchial lobectomy finally carried out. key success end-to-end anastomosis between thoracoscope. deep location operative field partly hidden trunk during made it even more difficult operate thoracoscopically. improve exposure field, managed raise by passing two 1-0 silk sutures, respectively ligated with both sides posterior wall bronchus, through anterior walls using crochet needle. Similarly, suture advanced needle lift artery. In way, widely open, exposed achieved. Postoperative recovery smooth. X-ray good expansion lung. Bronchoscopy patent anastomosis. discharged after weeks. conclusion, VATS is minimally invasive approach thorough removal tumor lesions while sparing as most possible, avoids pneumonectomy satisfies psychological physiological needs patients.