scholarly journals Pitfall of left anterior segmental pulmonary artery (A3) dissection in left upper lobectomy. A technical note

2020 ◽  
Vol 43 (8) ◽  
pp. 853-854
Author(s):  
Makoto Tomoyasu ◽  
Hiroyuki Deguchi ◽  
Wataru Shigeeda ◽  
Hajime Saito
Haigan ◽  
2014 ◽  
Vol 54 (1) ◽  
pp. 6-11 ◽  
Author(s):  
Hirohisa Kato ◽  
Hiroyuki Oizumi ◽  
Takashi Inoue ◽  
Hikaru Watarai

1996 ◽  
Vol 20 (5) ◽  
pp. 782-785 ◽  
Author(s):  
Mark E. Ladd ◽  
Susanne C. Göhde ◽  
Paul Steiner ◽  
Thomas Pfammatter ◽  
Graeme C. McKinnon ◽  
...  

2021 ◽  

Video-assisted thoracoscopic surgery (VATS) is considered the gold standard for the treatment of early stage non-small-cell lung cancer. Many studies have demonstrated reduced postoperative pain, hospital stay, and morbidity, while achieving the same oncological results. Indeed, it has become a widespread technique in many countries around the world. VATS can be applied also to challenging surgical procedures, such as plasty of the pulmonary artery, to obtain an oncologically radical resection of the tumor, and in the context of an N2 disease even after a previous operation on the thorax. In this case report, we demonstrate how to carry out this procedure safely to achieve radical resection of the diseased tissue.


2011 ◽  
Vol 2011 ◽  
pp. 1-4
Author(s):  
Takanori Ayabe ◽  
Tetsuya M. Shimizu ◽  
Masaki Tomita ◽  
Mitsuhiro Yano ◽  
Kunihide Nakamura ◽  
...  

Completion pneumonectomy (CP) is one of the most difficult procedures and known to be associated with a high morbidity and mortality. A 74-year-old male underwent a left upper lobectomy for pulmonary adenocarcinoma (T3N0M0); six days later after the surgery, he had a sudden postoperative intrathoracic excessive hemorrhage with shock. Emergent redo thoracotomy was performed to treat the bleeding from the ablated interlobar pulmonary artery by suturing with prolene. However, 3 days later after the second operation, he had the second intrathoracic bleeding. Emergent CP was performed with cardiopulmonary bypass by anterior transpericarsial approach via a median sternotomy. The hemorrhage was caused by a rupture of the proximal fragile and infected pulmonary artery. We performed omentopexy for the infected intrathoracic cavity and for covering of the divided main bronchial stump. We had a rare experience of two times of postoperative life-threatening hemorrhage from rupture of the infected pulmonary artery after left upper lobectomy. Emergent CP as salvage surgery should have an advantage in control of infected proximal pulmonary arterial hemorrhage. We should take care of tearing off of adventitia of pulmonary artery in lobectomy because of a possibility of postoperative hemorrhage under a fragility of the injured pulmonary artery with infection.


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