Left bronchial isomerism in a lung cancer patient undergoing right upper pulmonary lobectomy via a thoracoscope.

Abstract

Left bronchial isomerism is a rare condition characterized by a bronchial structure on the right side that is a mirror image of the left side. In this report, we record our experience with a 62-year-old female lung cancer patient in whom left bronchial isomerism was discovered during surgery using a thoracoscope. A right upper pulmonary lobectomy was successfully completed, the key to which was successful separation of the right upper and middle lobes. As there is a risk of excising the wrong bronchi in such cases, thoracic surgeons need to identify bronchus variations. The optimal method to do this is to use a bronchoscope and computed tomography images of the bronchial tree reconstruction prior to surgery.

• Authors: Lijian Huang, Lufeng Zhao, Hu Tang, Ying Chai
• Journal: Thoracic cancer (Thorac Cancer) Vol. 8 Issue 1 Pg. 54-56 (Jan 2017) ISSN: 1759-7714 [Electronic] Singapore
• PMID: 27755805 (Publication Type: Case Reports)
• Copyright: © 2016 The Authors. Thoracic Cancer published by China Lung Oncology Group and John Wiley & Sons Australia, Ltd.

Topics

• Bronchial Diseases (diagnosis, surgery)
• Bronchoscopy (instrumentation)
• Female
• Humans
• Lung Neoplasms (surgery)
• Middle Aged
• Pneumonectomy (instrumentation)
• Solitary Pulmonary Nodule (surgery)
• Treatment Outcome