Sleeve Pneumonectomy for Advanced Lung Cancer Report of a case

Abstract

A 48-year-old male with complaints of cough and bloody sputum underwent right sleeve pneumonectomy for lung cancer. Bronchoscopy revealed a granular tumor obstructing the orifice of the right upper lobe bronchus with invasion to the right main bronchus and carina. Biopsy revealed squamous cell carcinoma. After a 5-week course of 40 Gy of preoperative irradiation and a bronchial arterial infusion of anticancer drugs had been performed, the patient was operated on. The trachea was transected 2cm proximal to the carina and the left main bronchus was transected 0.5cm distal to the carina. End to end anastomosis between the trachea and left main bronchus was successful. His postoperative course was not unremarkable and immunochemotherapy was continued. The tumor size was 2×2.5×3cm. The whole tumor had become necrotic by preoperative radiation. The only lymphnode metastasis found was in the No.13 lymphnode. He was discharged from the hospital on the 42nd postoperative day.