Abstract
A man in his 60s underwent right upper sleeve lobectomy after neoadjuvant chemoradiotherapy for pulmonary adenocarcinoma (Bu cT2aN2M0, cStage III). He had undergone a total of seven balloon dilations and a metallic stent placement for bronchial anastomotic stenosis, and developed repeated lung abscess. So, he was referred to our hospital for radical surgery for the lung abscess. Although the pulmonary great vessels were easily ligated at the intrapericardial proximal site during the operation, severe bleeding was noted from the dissected pulmonary surface after ligating the pulmonary veins. In addition, since the right main bronchus could not be identified as close to the tracheal bifurcation due to the inflammatory adhesion of the hilum, completion pneumonectomy was conducted, retaining metallic stent pieces in the right main bronchus. The postoperative course was uneventful, and the patient is currently alive without recurrence at 25 months after the initial surgery and 9 months after the completion pneumonectomy.
