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Case Reports
. 2014 Jun;6(6):861-3.
doi: 10.3978/j.issn.2072-1439.2014.06.27.

Bronchovascular right upper lobe reconstruction by uniportal video-assisted thoracoscopic surgery

Diego Gonzalez-Rivas  1 , Eva Fieira  1 , Mercedes de la Torre  1 , Maria Delgado  1
Affiliations
Case Reports

Bronchovascular right upper lobe reconstruction by uniportal video-assisted thoracoscopic surgery

Diego Gonzalez-Rivas et al. J Thorac Dis. 2014 Jun.

Abstract

Lung cancer requiring double bronchial and vascular reconstruction of the pulmonary artery is a challenging procedure usually performed by thoracotomy. However, recent development of video-assisted thoracoscopic techniques allows experienced and skilled surgeons to perform these cases through a minimally invasive approach. Most of these complex thoracoscopic resections are performed by using 3 to 4 incisions. We present the first report of a right side combined vascular reconstruction and bronchoplasty performed through a single-incision video-assisted thoracoscopic surgery (VATS) technique.

Keywords: Thoracoscopy/video-assisted thoracoscopic surgery (VATS); bronchoplasty; minimally invasive surgery; pulmonary artery reconstruction; surgery/incisions/technique; vascular reconstruction; vasculoplasty.

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Figures

Figure 1
Figure 1
Computed tomography scan showing right upper lobe (RUL) bronchial and vascular lymph node invasion.
Figure 2
Figure 2
Bronchovascular resection and reconstruction.
Figure 3
Figure 3
Surgical image of instrumentation during bronchoplasty.
Figure 4
Figure 4
Postoperative result with chest tube placed in the posterior part of the incision.
See this image and copyright information in PMC

References

    1. Gonzalez-Rivas Diego, Fieira Eva, de la Torre Mercedes, Delgado Maria. Bronchovascular right upper lobe reconstruction by uniportal video-assisted thoracoscopic surgery. Asvide 2014;1:243 - PMC - PubMed
    1. Rendina EA, De Giacomo T, Venuta F, et al. Lung conservation techniques: bronchial sleeve resection and reconstruction of the pulmonary artery. Semin Surg Oncol 2000;18:165-72 - PubMed
    1. Han Y, Zhou S, Yu D, et al. Video-assisted thoracic surgery (VATS) left upper sleeve lobectomy with partial pulmonary artery resection. J Thorac Dis 2013;5:S301-3 - PMC - PubMed
    1. Liu L, Mei J, Pu Q, et al. Thoracoscopic bronchovascular double sleeve lobectomy for non-small-cell lung cancer. Eur J Cardiothorac Surg. 2014 [Epub ahead of print] - PubMed
    1. Gonzalez-Rivas D, Delgado M, Fieira E, et al. Double sleeve uniportal video-assisted thoracoscopic lobectomy for non-small cell lung cancer. Ann Cardiothorac Surg 2014;3:E2. - PMC - PubMed

Publication types