Resection of Right Upper Lobe Lung Cancer with a Displaced Anomalous Right B³ Bronchus: a Case Report

Abstract

Background. We herein report a patient who underwent surgery for lung cancer of the right upper lobe in whom the right B³ arose from the middle lobar branch. Case Report. A 68-year-old woman was found to have a partially solid mass (maximum diameter, 47 mm; solid diameter, 42 mm) in the right upper lobe S¹b. The right B³ arose from the middle lobar bronchus. During surgery, V^1-3 were transected, after which the superior trunk of the pulmonary artery and B¹⁺² were transected. A³a and A³b were also transected, and B³ was identified and transected. Finally, a fissure was created between the upper and middle lobes. Conclusions. In cases with a bronchial anomaly, a careful preoperative evaluation based on bronchoscopic and computed tomography findings is important to ensure a safe surgery.