Abstract
BackgroundRight sleeve lower lobectomy is rarely performed because pulmonary function of the middle lobe is not spared to the extent of the other lobes and achieving a proper bronchial anastomosis is technically more difficult than other sleeve lobectomies.Case presentationWe performed four right sleeve lower lobectomies and had good clinical outcomes using specific technical options, such as telescope anastomosing, pericardiotomy, interlobar dissection between the upper and middle lobes, and angioplasty of the lower pulmonary artery, if needed.ConclusionsThe cases presented herein demonstrated that a right sleeve lower lobectomy is one option by which to preserve the middle lobe using specific techniques and is thus recommended in select patients.
Highlights
Right sleeve lower lobectomy is rarely performed because pulmonary function of the middle lobe is not spared to the extent of the other lobes and achieving a proper bronchial anastomosis is technically more difficult than other sleeve lobectomies.Case presentation: We performed four right sleeve lower lobectomies and had good clinical outcomes using spe‐ cific technical options, such as telescope anastomosing, pericardiotomy, interlobar dissection between the upper and middle lobes, and angioplasty of the lower pulmonary artery, if needed
A right sleeve lower lobectomy is an infrequently used option, right lower and middle lobectomies are usually performed because pulmonary function of the middle lobe is preserved to a lesser extent than the other lobes
Case presentation We retrospectively studied four patients who underwent right sleeve lower lobectomies for primary non-small cell or metastatic lung tumor from 2015–2018 in the
Summary
The cases presented demonstrated that a right sleeve lower lobectomy is one option by which to preserve the middle lobe using specific techniques and is recommended in select patients.
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