Secondary Lingular Sleeve Resection to Avoid Pneumonectomy Following Bronchial Anastomotic Dehiscence after Left Lower Lobe Sleeve Resection for Destroyed Lung Syndrome

Servet Bölükbas; Robert Zanner; Michael Eberlein; Christian Biancosino; Bassam Redwan

doi:10.1055/s-0038-1635124

The Surgery Journal, Table of Contents

CC-BY 4.0 · Surg J (N Y) 2018; 04(01): e14-e17
DOI: 10.1055/s-0038-1635124

Case Report

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Secondary Lingular Sleeve Resection to Avoid Pneumonectomy Following Bronchial Anastomotic Dehiscence after Left Lower Lobe Sleeve Resection for Destroyed Lung Syndrome

Servet Bölükbas

¹Department of Thoracic Surgery, Kliniken Essen-Mitte, Evang, Huyssens-Stifftung/Knappschafts-Krankenhaus, Essen, Germany

,

Robert Zanner

²Department of Anaesthesiology, Klinikum rechts der Isar, Technische Universität München, Munich, Germany

,

Michael Eberlein

³Division of Pulmonary, Critical Care and Occupational Medicine, University of Iowa Hospitals and Clinics, Iowa City

,

Christian Biancosino

⁴Department of Thoracic Surgery, Helios University Hospital Wuppertal, Wuppertal, Germany

,

Bassam Redwan

⁵Division of Thoracic Surgery, and Lung Transplantation, University Hospital Münster, Münster, Germany

› Author Affiliations

Abstract

Bronchial sleeve resections are technically demanding procedures compared with lobectomies. In case of bronchial anastomotic dehiscence, secondary pneumonectomy is the treatment of choice. However, a secondary pneumonectomy is usually associated with high morbidity and mortality. Here, we first report, to the best of our knowledge, a secondary lingular sleeve resection following bronchial anastomotic dehiscence after left lower lobe sleeve resection in a patient with a destroyed lobe syndrome due to a pseudotumor. This approach enabled the avoidance of secondary pneumonectomy, hence reducing the possible pneumonectomy-associated complications.

Keywords

sleeve resection - anastomotic dehiscence - complication

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References

References
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