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Vol.57 No.4 contents | Japanese/English |
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- Case Report -
Wedge Tracheoplastic Lobectomy for Squamous Cell Carcinoma in Tracheal Bronchus: a Case Report
Shunsuke Tauchi1, Hiroki Tanaka1, Yukihisa Hatakeyama2, Sho Yoshimura2, Hisashi Onishi2, Nobuya Sano31Department of Thoracic Surgery, 2Department of Respiratory Medicine, 3Department of Pathology, Akashi Medical Center, Japan
Background. Tracheobronchial anomalies are rare. Therefore, relatively few malignant neoplasms resulting from these anomalies have been identified. Case. The patient was a 60-year-old man who complained of hemosputum. Flexible fiberoptic bronchoscopy showed the right upper bronchus originating from the right wall of the lower trachea (tracheal bronchus) and edematous changes causing reddening of the thickened inferior wall. A biopsy was performed, and the lesion was diagnosed as squamous cell carcinoma. No evidence of distant or lymph node metastases was found. Therefore, the patient was scheduled for surgery. The operation was performed via posterolateral thoracotomy. In addition to right upper lobectomy, tracheoplasty was necessary for the tumor on the tracheal bronchus wall. We performed tracheal wedge resection between the proximal tracheal cuff of the double lumen tube and the distal bronchial cuff. This made it unnecessary for an anesthesiologist to control the airway, with no need for intubation of the surgical field to maintain ventilation. The patient recovered uneventfully with good healing of the trachea and bronchial anastomosis and has enjoyed a good social life without recurrence in the three years since the surgery. Conclusion. We encountered a rare case of tracheal bronchus type lung cancer treated with wedge tracheoplastic lobectomy. Bronchial abnormalities are relatively infrequent but should be recognized accurately in order to determine the optimum surgical procedure.
key words: Lung cancer, Squamous cell carcinoma, Tracheal bronchus, Tracheoplasty, Wedge tracheoplastic resection
Received: March 25, 2017
Accepted: May 22, 2017
JJLC 57 (4): 330-335, 2017
