Abstract
We report a patient with peripheral lung cancer in the left lower lobe who underwent sleeve lobectomy and double barreled reconstruction of the bronchi, but subsequently interlobar lymph node metastasis invading the bronchus was discovered. The tumor and metastasized lymph node were extirpated en bloc with division of the main bronchus and upper division bronchus. The superior division bronchus and lingular bronchus were anastomosed side by side, and those bronchi were anastomosed to the left main bronchi. The patient has been doing well without recurrence. Sleeve lobectomy and double barreled-reconstruction with segmental bronchi may be applicable for patients with peripheral lung cancer and interlobar lymph node metastasis invading the bronchus but not invading the pulmonary artery to avoid pneumonectomy.
