Hiroaki Tsunezuka1, Tomoki Nishimura1, Masayoshi Inoue1. 1. Division of Thoracic Surgery, Department of Surgery, Kyoto Prefectural University of Medicine, Graduate School of Medical Science, Kyoto, Kyoto, Japan.
Abstract
INTRODUCTION: Prolonged air leak is the most common complication after pulmonary resection. This occurs more frequently in patients with incomplete interlobar fissure, chronic obstructive pulmonary disease, or emphysema. Interlobar lymphadenopathy can make interlobar fissure division difficult. SURGICAL TECHNIQUE: Several techniques of interlobar fissure division have been documented. The interlobar fissure is routinely divided using a stapler during pulmonary lobectomy. Normally, a stapler is used extravascularly. Here, we present a patient who successfully underwent interlobar fissure division wherein the jaw of the stapler passed through the interlobar pulmonary artery between A6 and A8 branches during resection of a lung squamous cell carcinoma in the left lower lobe with an interlobar lymphadenopathy. CONCLUSION: Interlobar fissure division inserting a jaw of stapler into pulmonary artery is easy and useful option for left lower lobectomy. This technique is especially useful for a patient with an interlobar lymphadenopathy.
INTRODUCTION: Prolonged air leak is the most common complication after pulmonary resection. This occurs more frequently in patients with incomplete interlobar fissure, chronic obstructive pulmonary disease, or emphysema. Interlobar lymphadenopathy can make interlobar fissure division difficult. SURGICAL TECHNIQUE: Several techniques of interlobar fissure division have been documented. The interlobar fissure is routinely divided using a stapler during pulmonary lobectomy. Normally, a stapler is used extravascularly. Here, we present a patient who successfully underwent interlobar fissure division wherein the jaw of the stapler passed through the interlobar pulmonary artery between A6 and A8 branches during resection of a lung squamous cell carcinoma in the left lower lobe with an interlobar lymphadenopathy. CONCLUSION: Interlobar fissure division inserting a jaw of stapler into pulmonary artery is easy and useful option for left lower lobectomy. This technique is especially useful for a patient with an interlobar lymphadenopathy.
Authors: Giuseppe Marulli; Andrea Droghetti; Francesco Di Chiara; Francesca Calabrese; Alessandro Rebusso; Egle Perissinotto; Giovanni Muriana; Federico Rea Journal: Lasers Med Sci Date: 2012-04-24 Impact factor: 3.161
Authors: Abel Gómez-Caro; Maria Jose Roca Calvo; Juan Torres Lanzas; Ryan Chau; Pedro Cascales; Pascual Parrilla Journal: Eur J Cardiothorac Surg Date: 2006-12-18 Impact factor: 4.191
Authors: Shuyin Liang; Jelena Ivanovic; Sebastien Gilbert; Donna E Maziak; Farid M Shamji; R Sudhir Sundaresan; Andrew J E Seely Journal: J Thorac Cardiovasc Surg Date: 2012-09-13 Impact factor: 5.209