Basal segmental auto-transplantation after pneumonectomy for advanced central lung cancer.

Abstract

In patients with central lung cancer that extensively involves the bronchus/pulmonary artery, a double-sleeve lobectomy is often difficult to perform. We describe a case of post-pneumonectomy basal segmental auto-transplantation using a lung preservation technique that uses cold low-potassium dextran glucose solution to protect the lung graft from ischaemia-reperfusion injury during the ex situ division of the segmental graft and the pathological investigations for the clearance of the surgical margins. A right basal segmental auto-transplantation procedure was performed in a patient with stage-IIIA squamous cell lung cancer. This technique could allow extensive pulmonary resection while minimizing the loss of pulmonary reserve.

• Authors: Takahiro Oto, Katsuyuki Kiura, Shinichi Toyooka, Shinichiro Miyoshi
• Journal: European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery (Eur J Cardiothorac Surg) Vol. 42 Issue 3 Pg. 579-81 (Sep 2012) ISSN: 1873-734X [Electronic] Germany
• PMID: 22544868 (Publication Type: Case Reports, Journal Article)

Topics

• Anastomosis, Surgical
• Biopsy, Needle
• Carcinoma, Squamous Cell (drug therapy, pathology, surgery)
• Chemotherapy, Adjuvant
• Follow-Up Studies
• Graft Survival
• Humans
• Immunohistochemistry
• Lung Neoplasms (drug therapy, pathology, surgery)
• Lung Transplantation (methods)
• Pneumonectomy (methods)
• Postoperative Care (methods)
• Risk Assessment
• Sternotomy (methods)
• Thoracotomy (methods)
• Time Factors
• Transplantation, Autologous (methods)
• Treatment Outcome