Premium
Case of thoracoscopic right upper lobectomy for lung cancer with tracheal bronchus and a pulmonary vein variation
Author(s) -
Yurugi Y,
Nakamura H,
Taniguchi Y,
Miwa K,
Fujioka S,
Haruki T,
Takagi Y,
Matsuoka Y,
Kubouchi Y
Publication year - 2012
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/j.1758-5910.2011.00115.x
Subject(s) - medicine , bronchus , surgery , right main bronchus , lung , dissection (medical) , lung cancer , mediastinal lymph node , bronchoscopy , pulmonary vein , radiology , respiratory disease , cancer , cardiology , ablation , metastasis
A 58‐year‐old woman visited our hospital with the chief complaint of an abnormal chest shadow. Chest CT showed an 18‐mm ground‐glass opacity in the right upper lobe, which became enlarged over time, and lung cancer was suspected. At the same time, a tracheal bronchus originating directly from the trachea was observed. She underwent thoracoscopic right upper lobectomy and mediastinal lymph node dissection. During surgery, in addition to the tracheal bronchus, a pulmonary vein variation was seen running dorsal to the pulmonary artery. Her postoperative course was uneventful. Tracheal bronchus is a rare anomaly, with an incidence of 0.1%–5%. Since tracheal bronchus is often accompanied by pulmonary vessel variations and may be associated with repeated previous infections, care should be taken when performing thoracoscopic lung resection.