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Video‐assisted thoracoscopic right upper lobectomy in a patient with a displaced bronchus and vascular abnormalities
Author(s) -
Momose Naoya,
Takahashi Tsuyoshi,
Sugimura Aya,
Sekihara Keigo,
Nagasaka Satoshi
Publication year - 2021
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/ases.12819
Subject(s) - medicine , bronchus , thoracoscopy , right main bronchus , lung , radiology , surgery , vein , video assisted thoracoscopic surgery , respiratory disease
Bronchial abnormalities are rare, and they are infrequently associated with pulmonary vascular abnormalities. It is important to identify such abnormal anatomical structures before lobectomy of the lung under thoracoscopy. There have been only three reports on video‐assisted thoracoscopic lobectomy in patients with anomalous bronchi and vascular abnormalities to date. Here, we present a report of video‐assisted thoracoscopic right upper lobectomy performed in a patient with bronchial and vascular abnormalities. Both preoperative imaging and intraoperative findings revealed a displaced anomalous B 2 bronchus arising from the bronchus intermedius, as well as abnormal distribution of the aberrant vein V 2 draining into vein V 6 . It is critical to understand the precise anatomical structures preoperatively to perform video‐assisted thoracoscopic pulmonary lobectomy safely.