Back-table procedure and auto-lung transplantation for locally advanced lung cancer: A case report

Yoko Karube; Masayuki Chida; Morimichi Nishihira; Takashi Inoue; Osamu Araki; Satoru Kobayashi; Tetsu Sado

doi:10.1186/s13019-016-0399-x

Back-table procedure and auto-lung transplantation for locally advanced lung cancer: A case report

Yoko Karube, Masayuki Chida, Morimichi Nishihira, Takashi Inoue, Osamu Araki, Satoru Kobayashi, Tetsu Sado

Surgery

Research output: Contribution to journal › Article › peer-review

2 Citations (Scopus)

Abstract

Background: To avoid a pneumonectomy and preserve the lung parenchyma, a bronchovascular double-sleeve plasty including an extended sleeve lobectomy is a good choice for locally advanced lung cancer. Case presentation: We describe a case with lung adenocarcinoma enrolled in our new protocol for ex situ auto-lung transplantation following an en bloc pneumonectomy and back table procedure for central lung cancer. Following completion of the pneumonectomy, the excised lung was irrigated with a cold extracellular phosphate-buffered solution to protect the lung graft from ischemia-reperfusion injury during preparation of the graft of a right basal segment as a back-table procedure. Conclusion: Although auto-lung transplantation is a complicated procedure, an en bloc pneumonectomy following a back table procedure makes preparation of the graft easy, while simultaneous mediastinal lymph node dissection by another surgeon shortens operation time.

Original language	English
Article number	3
Journal	Journal of Cardiothoracic Surgery
Volume	11
Issue number	1
DOIs	https://doi.org/10.1186/s13019-016-0399-x
Publication status	Published - 2016 Jan 16

Keywords

Angioplasty
Auto-transplantation
Bronchoplasty
Lung cancer

ASJC Scopus subject areas

Surgery
Pulmonary and Respiratory Medicine
Cardiology and Cardiovascular Medicine

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title = "Back-table procedure and auto-lung transplantation for locally advanced lung cancer: A case report",

abstract = "Background: To avoid a pneumonectomy and preserve the lung parenchyma, a bronchovascular double-sleeve plasty including an extended sleeve lobectomy is a good choice for locally advanced lung cancer. Case presentation: We describe a case with lung adenocarcinoma enrolled in our new protocol for ex situ auto-lung transplantation following an en bloc pneumonectomy and back table procedure for central lung cancer. Following completion of the pneumonectomy, the excised lung was irrigated with a cold extracellular phosphate-buffered solution to protect the lung graft from ischemia-reperfusion injury during preparation of the graft of a right basal segment as a back-table procedure. Conclusion: Although auto-lung transplantation is a complicated procedure, an en bloc pneumonectomy following a back table procedure makes preparation of the graft easy, while simultaneous mediastinal lymph node dissection by another surgeon shortens operation time.",

keywords = "Angioplasty, Auto-transplantation, Bronchoplasty, Lung cancer",

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T2 - A case report

AU - Karube, Yoko

AU - Chida, Masayuki

AU - Nishihira, Morimichi

AU - Inoue, Takashi

AU - Araki, Osamu

AU - Kobayashi, Satoru

AU - Sado, Tetsu

PY - 2016/1/16

Y1 - 2016/1/16

N2 - Background: To avoid a pneumonectomy and preserve the lung parenchyma, a bronchovascular double-sleeve plasty including an extended sleeve lobectomy is a good choice for locally advanced lung cancer. Case presentation: We describe a case with lung adenocarcinoma enrolled in our new protocol for ex situ auto-lung transplantation following an en bloc pneumonectomy and back table procedure for central lung cancer. Following completion of the pneumonectomy, the excised lung was irrigated with a cold extracellular phosphate-buffered solution to protect the lung graft from ischemia-reperfusion injury during preparation of the graft of a right basal segment as a back-table procedure. Conclusion: Although auto-lung transplantation is a complicated procedure, an en bloc pneumonectomy following a back table procedure makes preparation of the graft easy, while simultaneous mediastinal lymph node dissection by another surgeon shortens operation time.

AB - Background: To avoid a pneumonectomy and preserve the lung parenchyma, a bronchovascular double-sleeve plasty including an extended sleeve lobectomy is a good choice for locally advanced lung cancer. Case presentation: We describe a case with lung adenocarcinoma enrolled in our new protocol for ex situ auto-lung transplantation following an en bloc pneumonectomy and back table procedure for central lung cancer. Following completion of the pneumonectomy, the excised lung was irrigated with a cold extracellular phosphate-buffered solution to protect the lung graft from ischemia-reperfusion injury during preparation of the graft of a right basal segment as a back-table procedure. Conclusion: Although auto-lung transplantation is a complicated procedure, an en bloc pneumonectomy following a back table procedure makes preparation of the graft easy, while simultaneous mediastinal lymph node dissection by another surgeon shortens operation time.

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KW - Auto-transplantation

KW - Bronchoplasty

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