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The Journal of Cardiovascular Surgery 1998 August;39(4):511-3

Copyright © 2000 EDIZIONI MINERVA MEDICA

lingua: Inglese

Bronchial wall schwannoma removed by sleeve resection of the right stem bronchus without lung resection

Tsukada H., Osada H., Kojima K., Yamate N.

From the Department of Surgery, Division III, St. Marianna University School of Medicine, Kanagawa-Ken, Japan


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A 28-­year-­old ­man pre­sent­ed ­with a bron­chi­al ­wall schwan­no­ma occur­ring in ­the ­right ­main to ­the inter­me­di­ate bron­chus. The ­tumor ­was resect­ed en-­bloc ­with ­the ­stem bron­chi with­out pul­mo­nary resec­tion. Airway recon­struc­tion con­sist­ed of an ­end-to-­end anas­tom­o­sis of ­the inter­me­di­us bron­chus to ­the ­right ­main bron­chus, ­and an ­end-to-­side anas­tom­o­sis of ­the ­right ­upper ­lobe bron­chus to ­the lat­er­al ­wall of ­the tra­chea. Postoperative ­course ­was unev­et­ful. Bronchoplastic pro­ce­dure ­with pres­er­va­tion of ­the ­lung paren­chy­ma ­seems to be ­the tech­nique of ­choice ­for ­benign ­tumors occur­ring intra­mu­ral­ly in ­the ­stem bron­chus.

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