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

Research output: Contribution to journalArticlepeer-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 languageEnglish
Article number3
JournalJournal of Cardiothoracic Surgery
Volume11
Issue number1
DOIs
Publication statusPublished - 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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