The Experts below are selected from a list of 309 Experts worldwide ranked by ideXlab platform
Yoshihito Kogure - One of the best experts on this subject based on the ideXlab platform.
-
Silicone Y-Stent Placement on the Carina Between Bronchus to the Right Upper Lobe and Bronchus Intermedius
The Annals of thoracic surgery, 2009Co-Authors: Masahide Oki, Hideo Saka, Chiyoe Kitagawa, Yoshihito KogureAbstract:Airway stenting using a silicone stent has become widespread for the palliation of airway stenosis. We often encounter patients with tumors involving the carina between the Bronchus to the right upper lobe and Bronchus intermedius. However, there has not been ideal stenting for such cases, especially to maintain the patency of the right upper lobe Bronchus. We report three cases of malignant disease inserted with a Y-stent so that the bronchial limbs of the stent saddle the involved carina between the Bronchus to the right upper lobe and Bronchus intermedius. The respiratory symptoms improved immediately after the procedure.
Hiroshi Date - One of the best experts on this subject based on the ideXlab platform.
-
Backtable bronchoplasty for donor tracheal Bronchus in lung transplantation.
General thoracic and cardiovascular surgery, 2020Co-Authors: So Miyahara, Masatsugu Hamaji, Akihiro Aoyama, Daisuke Nakajima, Hideki Motoyama, Toyofumi F. Chen-yoshikawa, Hiroshi DateAbstract:The management of a tracheal Bronchus in lung transplantation is poorly studied and ill-defined. We report a case of lung transplantation performed using a donor right lung graft with an apical tracheal Bronchus and propose a novel anastomosis technique for this procedure. The neo-upper lobe Bronchus created by suturing the apical tracheal Bronchus and the upper lobe Bronchus of the donor was anastomosed to the upper lobe Bronchus of the recipient in a double-barrel fashion. A follow-up at 19 months demonstrated no stenosis of the anastomosis. The advantages and potential disadvantages of this procedure are discussed.
-
successful bilateral lung transplantation from a deceased donor with a ruptured main Bronchus
Interactive Cardiovascular and Thoracic Surgery, 2015Co-Authors: Ei Miyamoto, Msasaaki Sato, Tetsu Yamada, Hiroshi DateAbstract:Major tracheobronchial trauma may lead to underestimation of the potential for lung donation due to insufficient alveolar ventilation and resulting poor oxygenation, bronchoscopic findings and radiographic findings (e.g. atelectasis). Here, we report a case of successful bilateral lung transplantation from a deceased donor whose right Bronchus was ruptured by a trauma from the main Bronchus to the Bronchus intermedius. Although poor oxygenation and a collapsed right lung detected by computed tomography scanning precluded the use of the donor lungs by multiple transplant centres, careful bronchoscopic evaluation and intraoperative assessment convinced us that the parenchyma of the donor lungs was preserved sufficiently well for transplantation. Upon transplantation, the donor right Bronchus was anastomosed at two levels, the upper lobe Bronchus and the Bronchus intermedius, and the lacerated portion was removed. The recipient’s postoperative course was uneventful and the bronchial anastomoses healed excellently. Careful preoperative evaluation and appropriate surgical techniques might enable successful lung transplantation, using seemingly suboptimal donor lungs with major airway trauma.
Ming-hwang Shyr - One of the best experts on this subject based on the ideXlab platform.
-
successful one lung ventilation in a patient with aberrant tracheal Bronchus
Anesthesia & Analgesia, 2002Co-Authors: Angie C Y Ho, Robin Ka Shun Cheng, Ming-hwang ShyrAbstract:IMPLICATIONS: We report a 47-yr-old patient who underwent surgery for esophageal cancer. Because of the isolated ventilation of the right upper lobe after occlusion of the right mainstem Bronchus, bronchoscopic re-confirmation exposed an aberrant tracheal Bronchus. A Fogarty tube was introduced to block the tracheal Bronchus and provide one-lung ventilation.
Jun Isobe - One of the best experts on this subject based on the ideXlab platform.
-
Upper sleeve lobectomy for lung cancer with tracheal Bronchus
The Journal of thoracic and cardiovascular surgery, 2000Co-Authors: Kenichi Okubo, Yoichiro Ueno, Jun IsobeAbstract:with an incidence ranging from 0.1% to 2%.3,4 The term is used to designate any Bronchus originating from the trachea above the level of the main carina. Tracheal Bronchus is a normal finding in sheep, swine, cattle, camels, goats, and giraffes The incidence of lung cancer with bronchial anomaly is rare. Only a few cases of surgical resection for lung cancer with tracheal Bronchus have been reported in the literature.1,2 We report a case of right upper sleeve lobectomy for lung cancer with tracheal Bronchus. Clinical summary. A 61-year-old man with a history of pneumonia in infancy had a linear shadow on chest x-ray films. Bronchoscopic examination revealed a bronchial anomaly of the right upper Bronchus; the first branch to the right upper lobe originated from the distal trachea (tracheal Bronchus), and the second branch originated from the distal right main Bronchus (Fig 1). Fluoroscopy with forceps insertion showed that the first branch corresponded to B1+3 and the second to B2. The orifice of B2 showed mucosal irregularity and swelling. Brush cytology at the orifice revealed squamous cell carcinoma. Systemic screening, including computed tomography of the brain and abdomen and bone scanning, showed no apparent distant metastases. Pulmonary angiography showed no abnormality. The patient underwent right upper lobectomy with lymph node dissection through right posterolateral incision. Bronchi were initially divided at the origin of tracheal Bronchus, the right main Bronchus distal to the bifurcation of the tracheal Bronchus, and the Bronchus intermedius distal to B2 with the intent of anastomosing the Bronchus intermedius with the right main Bronchus. The frozen section showed cancer at the proximal stump of the main Bronchus, and then the distal trachea and the right main Bronchus were transected obliquely (Fig 2). After the stump was confirmed to be free of disease, the distal Bronchus intermedius was anastomosed with obliquely divided trachea and the main Bronchus with 3-0 Vicryl (Ethicon, Inc, Somerville, NJ) interrupted sutures. The tumor was 1.5 cm in diameter, and the proximal margin of the tumor was within 2 cm from the carina. Pathologic examination showed moderately differentiated squamous cell carcinoma (pT3 N0 M0). The postoperative course was uneventful. The patient is free from disease 32 months after the resection. Discussion. Tracheal Bronchus is an aberrant Bronchus usually originating from the right lateral wall of the trachea, UPPER SLEEVE LOBECTOMY FOR LUNG CANCER WITH TRACHEAL Bronchus
Christopher G. Green - One of the best experts on this subject based on the ideXlab platform.
-
The bridging Bronchus. Successful diagnosis and repair.
Archives of otolaryngology--head & neck surgery, 1997Co-Authors: Jeffrey R. Stokes, Diane G. Heatley, Rodney P. Lusk, Charles T. Huddleston, Christopher G. GreenAbstract:Anomalies of bronchial branching are infrequent and may be difficult to diagnose. The bridging Bronchus is a rarely reported anomaly that may not be as sporadic as once thought. We describe an infant with respiratory distress whose right middle and lower lobes were supplied by a bridging Bronchus arising from the left main Bronchus. The airway anatomy was defined using flexible and rigid bronchoscopy and helical computed tomographic scanning, enabling successful surgical repair. We review current literature on the bridging Bronchus as well as the possible embryological basis for this defect.
