Left superior segmentectomy for a patient with displaced anomalous apicoposterior branches of the pulmonary vein and bronchus: a case report
Abstract Background Knowledge of anatomical abnormalities and variations in pulmonary vessels and bronchi is critical for patients requiring a lung segmentectomy. To the best of our knowledge, this is the first case of a tumor existing in the lower lobe in conjunction with a displaced B1+2 in which...
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Japan Surgical Society
2021-01-01
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| Series: | Surgical Case Reports |
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| Online Access: | https://doi.org/10.1186/s40792-020-01097-0 |
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| author | Hiroki Matsumoto Hidemi Suzuki Takahide Toyoda Terunaga Inage Kazuhisa Tanaka Yuichi Sakairi Fumihiro Ishibashi Takahiro Nakajima Ichiro Yoshino |
| author_facet | Hiroki Matsumoto Hidemi Suzuki Takahide Toyoda Terunaga Inage Kazuhisa Tanaka Yuichi Sakairi Fumihiro Ishibashi Takahiro Nakajima Ichiro Yoshino |
| author_sort | Hiroki Matsumoto |
| collection | DOAJ |
| description | Abstract Background Knowledge of anatomical abnormalities and variations in pulmonary vessels and bronchi is critical for patients requiring a lung segmentectomy. To the best of our knowledge, this is the first case of a tumor existing in the lower lobe in conjunction with a displaced B1+2 in which the B1+2 was not accidentally cut during surgery. Case presentation A 71-year-old woman was referred to our hospital after a part-solid lung cancer was found in the superior segment of her left lung on chest computed tomography. Preoperative three-dimensional computed tomography revealed a displaced anomalous left B1+2 arising from the left main bronchus and anomalous V1+2 returning to the inferior pulmonary vein. We identified these anomalies during surgery and performed a left superior segmentectomy. After an unremarkable recovery, the patient was discharged from the hospital on the eighth day postoperative. Conclusions We used a three-dimensional construction system during the preoperative planning of the pulmonary segmentectomy to better understand the bronchovascular structures. When performing surgery where anatomical abnormalities are present, there is the possibility of misidentification. Using the three-dimensional construction system, it was possible to perform safer surgery, as the surgeons were able to preoperatively prepare for any abnormalities. |
| format | Article |
| id | doaj-art-7748ddd73db74443a3f43ba50676a972 |
| institution | Kabale University |
| issn | 2198-7793 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Japan Surgical Society |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj-art-7748ddd73db74443a3f43ba50676a9722025-08-20T03:33:45ZengJapan Surgical SocietySurgical Case Reports2198-77932021-01-01711410.1186/s40792-020-01097-0Left superior segmentectomy for a patient with displaced anomalous apicoposterior branches of the pulmonary vein and bronchus: a case reportHiroki Matsumoto0Hidemi Suzuki1Takahide Toyoda2Terunaga Inage3Kazuhisa Tanaka4Yuichi Sakairi5Fumihiro Ishibashi6Takahiro Nakajima7Ichiro Yoshino8Department of General Thoracic Surgery, Chiba University Graduate School of MedicineDepartment of General Thoracic Surgery, Chiba University Graduate School of MedicineDepartment of General Thoracic Surgery, Chiba University Graduate School of MedicineDepartment of General Thoracic Surgery, Chiba University Graduate School of MedicineDepartment of General Thoracic Surgery, Chiba University Graduate School of MedicineDepartment of General Thoracic Surgery, Chiba University Graduate School of MedicineDepartment of General Thoracic Surgery, Chiba University Graduate School of MedicineDepartment of General Thoracic Surgery, Chiba University Graduate School of MedicineDepartment of General Thoracic Surgery, Chiba University Graduate School of MedicineAbstract Background Knowledge of anatomical abnormalities and variations in pulmonary vessels and bronchi is critical for patients requiring a lung segmentectomy. To the best of our knowledge, this is the first case of a tumor existing in the lower lobe in conjunction with a displaced B1+2 in which the B1+2 was not accidentally cut during surgery. Case presentation A 71-year-old woman was referred to our hospital after a part-solid lung cancer was found in the superior segment of her left lung on chest computed tomography. Preoperative three-dimensional computed tomography revealed a displaced anomalous left B1+2 arising from the left main bronchus and anomalous V1+2 returning to the inferior pulmonary vein. We identified these anomalies during surgery and performed a left superior segmentectomy. After an unremarkable recovery, the patient was discharged from the hospital on the eighth day postoperative. Conclusions We used a three-dimensional construction system during the preoperative planning of the pulmonary segmentectomy to better understand the bronchovascular structures. When performing surgery where anatomical abnormalities are present, there is the possibility of misidentification. Using the three-dimensional construction system, it was possible to perform safer surgery, as the surgeons were able to preoperatively prepare for any abnormalities.https://doi.org/10.1186/s40792-020-01097-0Lung cancerDisplaced bronchusSegmentectomyAnomalous pulmonary veinThree-dimensional computed tomography |
| spellingShingle | Hiroki Matsumoto Hidemi Suzuki Takahide Toyoda Terunaga Inage Kazuhisa Tanaka Yuichi Sakairi Fumihiro Ishibashi Takahiro Nakajima Ichiro Yoshino Left superior segmentectomy for a patient with displaced anomalous apicoposterior branches of the pulmonary vein and bronchus: a case report Surgical Case Reports Lung cancer Displaced bronchus Segmentectomy Anomalous pulmonary vein Three-dimensional computed tomography |
| title | Left superior segmentectomy for a patient with displaced anomalous apicoposterior branches of the pulmonary vein and bronchus: a case report |
| title_full | Left superior segmentectomy for a patient with displaced anomalous apicoposterior branches of the pulmonary vein and bronchus: a case report |
| title_fullStr | Left superior segmentectomy for a patient with displaced anomalous apicoposterior branches of the pulmonary vein and bronchus: a case report |
| title_full_unstemmed | Left superior segmentectomy for a patient with displaced anomalous apicoposterior branches of the pulmonary vein and bronchus: a case report |
| title_short | Left superior segmentectomy for a patient with displaced anomalous apicoposterior branches of the pulmonary vein and bronchus: a case report |
| title_sort | left superior segmentectomy for a patient with displaced anomalous apicoposterior branches of the pulmonary vein and bronchus a case report |
| topic | Lung cancer Displaced bronchus Segmentectomy Anomalous pulmonary vein Three-dimensional computed tomography |
| url | https://doi.org/10.1186/s40792-020-01097-0 |
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