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Extended Sleeve Lobectomy: One More Step Toward Avoiding Pneumonectomy in Centrally Located Lung Cancer  Jean-Philippe Berthet, MD, Marina Paradela, MD,

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Presentation on theme: "Extended Sleeve Lobectomy: One More Step Toward Avoiding Pneumonectomy in Centrally Located Lung Cancer  Jean-Philippe Berthet, MD, Marina Paradela, MD,"— Presentation transcript:

1 Extended Sleeve Lobectomy: One More Step Toward Avoiding Pneumonectomy in Centrally Located Lung Cancer  Jean-Philippe Berthet, MD, Marina Paradela, MD, Maria Jose Jimenez, MD, PhD, Laureano Molins, MD, PhD, Abel Gómez-Caro, MD, PhD  The Annals of Thoracic Surgery  Volume 96, Issue 6, Pages (December 2013) DOI: /j.athoracsur Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Modified Okada classification. (LLL = left lower lobe; ML= middle lobe; RLL = right lower lobe; RUL = right upper lobe.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 (A and B) Bronchial anastomosis using a modified end-to-end technique. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Patient 18, adenocarcinoma involving bronchus intermedius beyond origin of right upper bronchus (RUB) at mediastinal face. (A) Computed tomographic scan showing endobronchial tumor involving main bronchus immediately beneath origin of RUB (arrow), precluding bilobectomy. (B) Segment 6 tumor involving carinal division between bronchus intermedius and RUB. (C) Reimplantation of RUB into main bronchus (type D) was carried out. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 (A) Patient 13, squamous tumor arising from left upper bronchus (LUB) and involving segment 6. Computed tomographic scan, view of the tumor extending from origin of LUB with endobronchial invasion (arrow) to the origin of the superior segment of the inferior lobe. (B) Involvement of carinal division of both lobes (arrow); proximity of segment 6 seen by endoscopy precluded anastomosis sparing the entire inferior lobe. (C) Bronchial anastomosis between main bronchus and basal segments of lower left lobe (type B). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

6 Fig 5 Overall 5-year survival rate.
The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

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