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  • Title: Bronchoplastic lobectomy with wide wedge resection for lung cancer with long-term steroid medication.
    Author: Taniguchi Y, Horio H, Suzuki Y, Nakamura H.
    Journal: Ann Thorac Cardiovasc Surg; 2007 Dec; 13(6):403-6. PubMed ID: 18292724.
    Abstract:
    A 57-year-old man with erythrodermia, who was given 5-10 mg/day of prednisolone for 2.5 years, was admitted to our hospital for squamous cell lung carcinoma of the right upper lobe. A bronchoscopy revealed a tumor nearly obstructing the right upper lobe bronchus. A bronchoplastic lobectomy was performed with wide wedge resection of the main bronchus and truncus intermedius. A postoperative bronchoscopy revealed good healing of the anastomosis and a 3-dimensional construction of the bronchus with chest computed tomography demonstrated no stenotic change and no kinking change in the anastomosis. One year and 6 months after surgery, no local recurrence was seen in the region of bronchoplasty. Bronchoplastic lobectomy with wide wedge resection is a useful procedure in cases with risk factors of anastomotic dehiscence, such as after induction therapy or during long-term administration of adrenal cortical steroids.
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