Extended Sleeve Lobectomy for Tuberculous Bronchial Stenosis: A case report.
- Author:
Dae Hyun KIM
1
;
Young Tae KWAK
;
Cheon Woong CHOI
;
Ji Hong YOO
Author Information
1. Department of Thoracic and Cardiovascular Surgery, East-Wese Neo Medical Center, Kyunghee University, Korea. kmctskdh@hanmail.net
- Publication Type:Case Report
- Keywords:
Lung surgery;
Sleeve resection;
Tuberculosis
- MeSH:
Bronchi;
Bronchoscopy;
Constriction, Pathologic;
Humans;
Lung Neoplasms;
Pneumonectomy;
Trachea;
Tuberculosis
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2010;43(6):793-796
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Tuberculosis involving the central airway occasionally results in diffuse stenosis in the distal trachea and main bronchus. When the stenosis is more limited to the main bronchus, sleeve resection can be performed with high likelihood of a good result. Bronchial stenosis limited to 2 cm is considered favorable for bronchial sleeve resection. However, a longsegment stenosis may make sleeve resection difficult or impossible, and pneumonectomy or therapeutic bronchoscopy may be performed. An extended sleeve lobectomy is a procedure to remove more than one lobe using a bronchoplasty technique and its applications to the patients with locally advanced lung cancer were reported. We performed an extended sleeve lobectomy in a patient with tuberculous bronchial stenosis involving the right main bronchus, bronchus intermedius, right middle lobar bronchus and right lower lobar bronchus, and report this case with review of literatures.
