BÁO CÁO CA PHẪU THUẬT CẮT ĐOẠN PHẾ QUẢN GỐC TRÁI CÓ TÁI TẠO PHẾ QUẢN, BẢO TỒN PHỔI HOÀN TOÀN ĐIỀU TRỊ BỆNH NHÂN UNG THƯ PHẾ QUẢN GỐC TRÁI TẠI BỆNH VIỆN K CƠ SỞ TÂN TRIỀU

Abstract

The bronchial resection with bronchial reconstruction, also known as sleeve lobectomy/sleeve resection, is a complex surgical technique in the field of thoracic surgery. This advanced technique aims to remove a lung tumor without having to remove the entire lung. Instead, the portion of the bronchus invaded by the tumor is excised, and the remaining lung is reconstructed by reconnecting the healthy bronchial segments. This surgery is typically indicated in cases of central-type lung cancer when the tumor has invaded the bronchial carina of the lobe or its branches, bronchial stenosis, congenital or acquired bronchial lesions. Sleeve surgery helps to maximally preserve respiratory function, increase survival rates, and reduce the risk of respiratory complications, especially benefiting elderly patients or those with poor cardiopulmonary function [1] [2]. Clinical case: 63-year-old female patient went to the doctor because of a persistent cough. Through paraclinical examination and bronchoscopy, a wart lesion was discovered in the left main bronchus. We performed surgery to remove the left main bronchus and reconstruct the bronchus, completely preserving the left lung.