1986 Volume 8 Issue 2 Pages 291-296
The patient was a 33 year-old male with severe stenosis of the right main bronchus due to tuberculosis. Sleeve lobectomy of the right upper lobe was performed. The cicatricial lesion in the trachea was 6 cm from the carina, so anastomosis was performed at that site. We performed lung function tests before and after the operation. Vital capacity, FEV_<1.0> and flow-volume curves improved after the operation. The mediastinal swing which was seen before surgery improved on chest cinematography. The same phenomenon was confirmed by the fluorospiro graphy. In the lung ventilation scanning, the prolonged mean transit time in the right lung noted before the operation improved. In our case, the functional improvement was so good that we recommend relatively conservative operation, even if it means that the anastomosis site is at the site of a cicatricial lesion.
