Sleeve segmentectomy for non–small cell lung carcinoma

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Presentation transcript:

Sleeve segmentectomy for non–small cell lung carcinoma Morihito Okada, MD, PhD, Wataru Nishio, MD, PhD, Toshihiko Sakamoto, MD, PhD, Kazuya Uchino, MD, Tsuyoshi Yuki, MD, Akio Nakagawa, MD, Noriaki Tsubota, MD, PhD The Journal of Thoracic and Cardiovascular Surgery Volume 128, Issue 3, Pages 420-424 (September 2004) DOI: 10.1016/j.jtcvs.2004.04.029

Figure 1 Schematic illustrations of representative surgical findings. A, Case A-6: left sleeve S6 (superior segment of lower lobe) segmentectomy with additional deep wedge resection of the second carina caused by involvement of the lesion. The distal bronchial stump was trimmed with convex wedge-shaped cutting because the lesion also extended to the basal segmental bronchus. B, Case C-4: left sleeve lingulectomy (S4+5) with a side-to-end anastomosis between the left main and the cut end of the upper division of the bronchi, and sleeve resection of the pulmonary artery with subsequent reconstruction using a pericardial patch (so-called double-sleeve resection). The Journal of Thoracic and Cardiovascular Surgery 2004 128, 420-424DOI: (10.1016/j.jtcvs.2004.04.029)