Left sleeve pneumonectomy performed through a clamshell incision with extracorporeal membrane oxygenation for bronchogenic carcinoma: Report of two cases

Takashi Kondo, Motoyasu Sagawa, Masami Sato, Yuji Matumura, Yuji Kubo, Hiroyuki Yosida, Makoto Sugita, Shigefumi Fujimura

Research output: Contribution to journalArticlepeer-review

17 Citations (Scopus)

Abstract

We report herein the cases of two patients with bronchial gland carcinomas in the left main bronchus who were successfully treated by left sleeve pneumonectomy performed through a clamshell incision. Adequate oxygenation during pathological examination of tumor invasion at the bronchial stumps and the tracheobronchial anastomoses was achieved by extracorporeal membrane oxygenation (ECMO) in both patients. Tracheobronchial anastomosis was relatively easy to perform in the excellent operative field achieved by this method. The postoperative courses of both patients were uneventful, although they developed temporary pulmonary edema that was effectively controlled by mechanical ventilation and appropriate diuresis. The procedure presented in this paper is considered to be a safe and effective method of performing left sleeve pneumonectomy.

Original languageEnglish
Pages (from-to)807-810
Number of pages4
JournalSurgery today
Volume29
Issue number8
DOIs
Publication statusPublished - 1999 Jan 1

Keywords

  • Bronchial gland carcinoma
  • Bronchial reconstruction
  • Clam shell incision
  • Extracorporeal membrane oxygenation
  • Left sleeve pneumonectomy

ASJC Scopus subject areas

  • Surgery

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