Extended bronchoplasty and angioplasty with a right upper-middle bilobectomy and S6 segmentectomy for lung cancer: a novel technique for anastomosis.

In the lung cancer case described here, we resected the right upper lobe, right middle lobe, and superior segment of the right lower lobe with concomitant resection of the pulmonary artery and bronchoplastic and pulmonary arterial reconstruction. The basal segmental bronchus was anastomosed to the right main stem bronchus using a novel, specific technique: The tumor was extirpated with division of the upper and middle lobe bronchus and the superior segmental bronchus. Parts of the middle bronchus and superior segmental bronchus on the distal side were used to expand their orifice. The cut end of the pulmonary artery was sutured, reversing the long and short axes, to shorten and adjust the pulmonary artery.