• Title/Summary/Keyword: Bilobectomy

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Right Lower Sleeve Bilobectomy for Lung Cancer with Posteparterial Tracheal Bronchus

  • Kim, Hongsun;Kim, Jinsik;Cho, Jong Ho;Shin, Su Min;Kim, Hong Kwan;Kim, Jhingook
    • Journal of Chest Surgery
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    • v.50 no.4
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    • pp.300-304
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    • 2017
  • A 42-year-old man was diagnosed with cancer of the right lower lung lobe with a posteparterial type of tracheal bronchus, in which the posterior segmental bronchus of the right upper lobe arose from the distal bronchus intermedius. A mass involved the distal bronchus intermedius, requiring a right lower bilobectomy with an additional posterior segmental resection of the right upper lung lobe. Thus, we performed a right lower bilobectomy and sleeve anastomosis of the posterior segmental bronchus of the right upper lobe to the proximal bronchus intermedius, sparing the pulmonary parenchyma of the same lobe.

Surgical Management of Occult Foreign Body in the Bronchus Intermedius (중간 기관지 내 이물의 수술적 치료)

  • Kim, Jae-Bum;Park, Chang-Kwon
    • Korean Journal of Bronchoesophagology
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    • v.16 no.1
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    • pp.51-54
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    • 2010
  • Occult bronchial foreign body is that long-standing foreign body lodge in bronchial tree. Occult bronchial foreign bodies arc rare in adults, whereas tracheobronchial aspiration of foreign bodies occurs commonly in children. A 65-year-old man with chronic cough, sputum production, and fever was transferred for treatment of right middle and lower lobc collapse and obstructive pneumonitis as evidenced by imaging studies. The patient was treated with right middle-lower bilobectomy because fiberoptic bronchoscopic removal of the foreign body failed. We report this case with review of literatures.

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Pulmonary Artery Aneurysm in Behcet's Disease (베체트 질환에 발생한 폐동맥류 -치험 1예-)

  • 박승일;원준호;이종국
    • Journal of Chest Surgery
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    • v.32 no.7
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    • pp.660-664
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    • 1999
  • Behcet's disease is classically described as featuring recurrent aphthous ulcers in the mouth and genital organs and as having relapsing iritis. Now it is being recognized as a mul tisystem disorder that involves of the skin, gastrointestinal system, cardiovascular system, lung and the central nervous system as well as the joints, blood vessels and urologic systems. Large vessel diseases are unusual but aneurysm may occur in which the pulmonary circulation may give rise to the massive and often fatal hemoptysis. A 29 year-old man who complained of having dyspnea and hemoptysis during six months visited our hospital. He received right bilobectomy for a mass located in the right lower lobe. He underwent right bilobectomy. The final pathologic diagnosis was a pulmonary artery aneurysm which origina ted from the pulmonary artery.

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Broncholithiasis (기관지결석)

  • 전용선;손영상;최영호
    • Korean Journal of Bronchoesophagology
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    • v.2 no.1
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    • pp.82-87
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    • 1996
  • Broncholithiasis is a relatively rare condition in which a calcified mass is found either within or eroding into the bronchus. We report two cases of broncholith of the right lung. One patient is a 41 year old male with a chief complaint of chronic cough and blood tinged sputum, and the other is a 43 year old female with intermittent substernal pain for 3 years. We confirmed the broncholiths by bronchoscopy and underwent bilobectomy and right middle lobectomy, respectively. They recovered and discharged without any complication.

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surgical treatment of bronchial adenoma -Report of 6 cases- (기관지선종의 수술요법)

  • Seo, Dong-Man;Kim, Ju-Hyeon
    • Journal of Chest Surgery
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    • v.17 no.1
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    • pp.129-132
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    • 1984
  • Bronchial Adenomas are rare entity among the primary bronchopulmonary neoplasms. But they have received attention because of debate on their malignant nature, prognosis, and mode of therapy. We have four carcinoids and two cylindromas from Jan. 1972 to Jun. 1983. Operations include two pneumonectomies two lobectomies and one bilobectomy. In one cylindroma, resection was impossible due to its invasion into mediastinum and pericardium. There were no hospital deaths.

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Bronchial Carcinoid - One case report - (기관지 암양종 (Carcinoid) 수술치험 1례 보고-)

  • 박형주
    • Journal of Chest Surgery
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    • v.21 no.3
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    • pp.601-606
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    • 1988
  • Bronchial carcinoid was classified as one of the bronchial adenoma group and it was regarded as benign tumor because of its uniform histologic feature, predictable clinical course and good survivability after surgical resection. But recently, many authors described that bronchial carcinoid has low grade malignancy for its lymphatic spread and distant metastasis, especially atypical carcinoid. We had a case of typical bronchial carcinoid in 20 year old female patient, and successful operation was performed by bilobectomy of middle and lower lob of right lung. Postoperative course was uneventful and discharged without any complication.

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Epithelial-Myoepithelial Carcinoma of the Lung; one case report (폐의 상피-근상피세포암)

  • 조성우;지현근;이재진;신윤철;남은숙
    • Journal of Chest Surgery
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    • v.33 no.6
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    • pp.518-520
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    • 2000
  • Epithelial-myoepithelial carcinoma is a rate low-grade malignant salivary neoplasm that usually occurs in the parotid gland but can also arise in minor salivary glands. We report a case of a primary epithelial-myoepithelial carcinoma of the lung neoplasm. The patient was 48-year-old women who presented with dry cough of 1 month duration. A right middle lobe endobronchial lesion was identified bronchoscopically. The bilobectomy of RML & RLL was performed, the pathologic result was epithelial-myoepithelial carcinoma.

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Middle Lobe Syndrome (중엽증후군)

  • 이용훈;김병철
    • Journal of Chest Surgery
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    • v.29 no.6
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    • pp.621-625
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    • 1996
  • "Middle lobe syndrome" which was described y Graham and associates at first is always caused by ex- ternal bronchial compression by Iymph nodes. Although the patients may not present any symptom, the most common presenting symptoms were cough, dyspnea, fever, hemoptysis, and chest pain. Diagnostic procedures includ chest X-ray bronchoscopy, brochography, chest CT, and the principal finding is the contracted middle lobe which is usually airless. We experienced fifteen cases of middle lobe syndrome from April 1990 to May 1995. Eleven patients were treated surgically. The surgical candidates for middle lobe syndrome are suspicious malignancy, fixed bronchiectasis, bronchostenosis, intractable to medical treatment, recurrent infection. Operations were right middle lobectomy (8), right middle and lower bilobectomy (2), right upper and middle bilobectomy (1). Postoperative histological findings were tuberculosis in six, chronic inflammation in three, malignancy in one, and focal hemorrhage in one. There were two cases of postoperat ve complications which were postoperative atelectasis and hepatopathy.patopathy.

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Treatment of Prolonged Air-leak after Bilobectomy by Artificial Pneumoperitoneum (폐엽절제 후 발생한 지속적 공기누출의 인공기복에 의한 치료)

  • 조성준;이성호
    • Journal of Chest Surgery
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    • v.35 no.12
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    • pp.902-905
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    • 2002
  • Pulmonary resection often leaves a pleural space problem that can cause prolonged air leaks. We describe a patient with lung cancer undergoing a right middle and lower lobectomy complicated by prolonged air leaks. He had a history of pulmonary tuberculosis and COPD. Artificial pneumoperitoneum was made by instillation of air via a small central vein catheter into the left lower quadrant on postoperative day(POD) 21. The air leak ceased on POD 23 and the chest tube was removed on POD 25.